Individual
JORDAN CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301109069
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2011
Last updated
07/21/2022
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