Individual
VIL EDWARD MATRO CASTILLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 COMMERCE DR, SUITE C, FORT GRATIOT, MI 48059-3819
(810) 385-4441
(810) 385-4933
Mailing address
PO BOX 610228, PORT HURON, MI 48061-0228
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301076847
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4637253
—
MI
Enumeration date
02/28/2006
Last updated
07/08/2007
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