Individual
WILLIAM R CAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11141 PARKVIEW PLAZA DR, SUITE 210, FORT WAYNE, IN 46845-1701
(260) 484-0919
(260) 483-3097
Mailing address
11141 PARKVIEW PLAZA DR, SUITE 210, FORT WAYNE, IN 46845-1701
(260) 484-0919
(260) 483-3097
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01019734A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487478
—
OH
Enumeration date
08/10/2005
Last updated
03/03/2008
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