Castro, Michael Dominic

Castro, Michael Dominic is an individual health care provider with primary practice located at 2090 Woodwinds Dr , Woodbury MN 55125-2522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Castro, Michael Dominic can be contacted via phone (651) 968-5801.

Contact Information

Primary practice address
2090 Woodwinds Dr Woodbury MN 55125-2522
Phone: (651) 968-5801
Fax: (651) 968-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 005096 Arizona
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 005096 Arizona
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 43871 Minnesota

Profile Details

NPI number 1679505044
LBN Legal business name Castro, Michael Dominic
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679505044 NPPES
Arizona MEDICAID 342593

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