Individual
JOSE ALFREDO CASTILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 RIVERSIDE AVENUE, CAMPUS BOX 149, MINNEAPOLIS, MN 55454-1350
(612) 330-1388
(612) 330-1757
Mailing address
3023 QUEEN AVE N APT 2, MINNEAPOLIS, MN 55411-1060
(612) 408-5182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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