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Organization

CASTLEMAN EMERGENCY CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE D CASTLEMAN MD (PRESIDENT)
(734) 283-0500
Entity
Organization

Contact information

Practice address
14050 DIX TOLEDO RD, SOUTHGATE, MI 48195-2501
(734) 283-0500
(734) 283-2720
Mailing address
14050 DIX TOLEDO RD, SOUTHGATE, MI 48195-2501
(734) 283-0500
(734) 283-2720

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3398300
MI
01
40370
BCBS
Enumeration date
11/16/2005
Last updated
08/22/2020
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