Individual
JANE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6614 DIXIE HWY, BRIDGEPORT, MI 48722-9623
(989) 746-0911
(989) 583-7536
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2949
(989) 583-7536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301051770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3484964
—
MI
Enumeration date
06/13/2006
Last updated
12/29/2014
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