Individual
MICHAEL CASTINE
Active
Individual
MICHAEL CASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
216731
MA
207RC0000X
Cardiovascular Disease Physician
D0067136
MD
207RI0011X
Interventional Cardiology Physician
D0067136
MD
207RI0011X
Interventional Cardiology Physician
Primary
MD.207835
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03956266
—
MS
05
—
2404814
—
LA
Enumeration date
03/19/2007
Last updated
06/21/2016
Update your record
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