| 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 |