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Individual

DR. MICHAEL D KASTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 JOHN ST, SUITE M-206A, KALAMAZOO, MI 49007-5341
(269) 488-8355
(269) 488-8356
Mailing address
601 JOHN ST, SUITE M206A, KALAMAZOO, MI 49007-5341
(269) 488-8355
(269) 488-8356

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301062050
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4301062050
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
155409
GREAT LAKES HLTH PLAN
05
1700820354
MI
01
2003910152
BCBS PIN
MI
01
4276342
AETNA PIN
05
4492405-10
MI
Enumeration date
06/15/2006
Last updated
11/27/2023
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