Individual
MICHELLE DEL CASTILLO DE JESUS BRAZITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, SUITE 4297, GRAND RAPIDS, MI 49503-2560
(616) 957-4090
Mailing address
100 MICHIGAN ST NE, MC845 PAYER CREDENTIALING, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301104464
MI
Other
Enumeration date
09/03/2010
Last updated
02/19/2021
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