Individual
DR. JUVENAL LIPANA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6172 CHABLIS LN, PORTAGE, MI 49024-9005
(917) 816-4427
(269) 321-0156
Mailing address
6172 CHABLIS LN, PORTAGE, MI 49024-9005
(917) 816-4427
(269) 321-0156
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036116406
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301087182
MI
Other
Enumeration date
08/22/2006
Last updated
09/27/2016
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