Jose Alfredo Castillo Jr, | |
2211 Riverside Avenue, Campus Box 149, Minneapolis, MN 55454-1350 | |
(612) 330-1388 | |
(612) 330-1757 |
Full Name | Jose Alfredo Castillo Jr |
---|---|
Gender | Male |
Speciality | Student In An Organized Health Care Education/training Program |
Location | 2211 Riverside Avenue, Minneapolis, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982453114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jose Alfredo Castillo Jr, 3023 Queen Ave N Apt 2, Minneapolis, MN 55411-1060 Ph: (612) 408-5182 | Jose Alfredo Castillo Jr, 2211 Riverside Avenue, Campus Box 149, Minneapolis, MN 55454-1350 Ph: (612) 330-1388 |