Individual
MICHAEL DOMINIC CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5801
(651) 968-5899
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
005096
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
005096
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
43871
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342593
—
AZ
Enumeration date
07/07/2006
Last updated
07/01/2015
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