Dr Juvenal Lipana Castillo, MD | |
6172 Chablis Ln, Portage, MI 49024-9005 | |
(917) 816-4427 | |
(269) 321-0156 |
Full Name | Dr Juvenal Lipana Castillo |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 6172 Chablis Ln, Portage, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841306982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 4301087182 (Michigan) | Primary |
208100000X | Physical Medicine & Rehabilitation | 036116406 (Illinois) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Juvenal Lipana Castillo, MD 6172 Chablis Ln, Portage, MI 49024-9005 Ph: (917) 816-4427 | Dr Juvenal Lipana Castillo, MD 6172 Chablis Ln, Portage, MI 49024-9005 Ph: (917) 816-4427 |
Bryan Dale Visser, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St, Suite #200, Portage, MI 49024 Phone: 269-372-7200 Fax: 269-372-1630 |