Individual
MICHAEL J CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
MEMORIAL MEDICAL CTR, 701 NORTH 1ST STREET, SPRINGFIELD, IL 62781-0001
(217) 788-4960
Mailing address
MEMORIAL MEDICAL CTR, 701 NORTH 1ST STREET, SPRINGFIELD, IL 62781-0001
(217) 788-4960
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036127397
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
036127397
IL
Other
Enumeration date
04/07/2006
Last updated
01/13/2015
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