NPI 1679505044 · live from the CMS NPI Registry
Michael Dominic Castro, DO
Orthopaedic Surgery, Foot and Ankle Surgery in Woodbury, MN. National Provider Identifier 1679505044, active.
NPI record
| NPI | 1679505044 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Foot and Ankle Surgery 207XX0004X |
| Practice location | 2090 Woodwinds Dr, Woodbury, MN 55125 |
| Practice phone | 651-968-5801 |
| Mailing address | 710 Commerce Dr Ste 200, Woodbury, MN 55125 |
| Enumerated | July 7, 2006 |
| Last updated | July 1, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 005096 (AZ) |
| Orthopaedic Surgery, Foot and Ankle Surgery | 207XX0004X | 005096 (AZ) |
| Orthopaedic Surgery, Foot and Ankle Surgery primary | 207XX0004X | 43871 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.