Individual
THOMAS A CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
240 CORPORATE DRIVE, BEAVER DAM, WI 53916-3115
(920) 887-1151
(920) 887-3353
Mailing address
240 CORPORATE DRIVE, BEAVER DAM, WI 53916-3115
(920) 887-1151
(920) 887-3353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40496
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024501
PHYSICIANS PLUS HMO
—
01
—
11995
DEAN CARE HMO
—
01
—
180034885
RAIL ROAD MEDICARE
WI
05
—
30088300
—
WI
01
—
31662
NETWORK HEALTH PLAN
—
01
—
391156156
TAX ID
—
01
—
39115615613
UNITY HMO
—
01
—
WI0113
JOHN DEERE HEALTH PLAN
—
Enumeration date
07/19/2006
Last updated
05/01/2024
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