Organization
CANDELARIA CASTANEDA, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDELARIA J M CASTANEDA MD (MD)
(989) 479-3116
Entity
Organization
Contact information
Practice address
729 TRESCOTT ST, HARBOR BEACH, MI 48441-1321
(989) 479-3116
(989) 479-3860
Mailing address
729 TRESCOTT ST, P.O. BOX 213, HARBOR BEACH, MI 48441-1321
(989) 479-3116
(989) 479-3860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301062431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3464809
—
MI
01
—
P92434
BLUE CARE NETWORK
MI
Enumeration date
02/21/2008
Last updated
02/28/2011
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