Individual
DR. MICHAEL D CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 630-2028
(419) 630-2029
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.132814
OH
207RC0000X
Cardiovascular Disease Physician
4301053638
MI
207RI0011X
Interventional Cardiology Physician
Primary
35.132814
OH
207RI0011X
Interventional Cardiology Physician
4301053638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326581
—
OH
05
—
4754590
—
MI
Enumeration date
06/09/2005
Last updated
08/29/2024
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