Individual
DR. CARLOS S CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Mailing address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-3630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34832500
WISCONSIN MEDICAID
WI
Enumeration date
12/29/2005
Last updated
10/17/2011
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