Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | C52545 | MI |
Y | 222Z00000X | Podiatrist | C52545 | MI |
N | 224P00000X | Prosthetist | C52545 | MI |
NPI | 1205311594 |
---|---|
Provider Name | Mr. Christopher Tod Casteel |
First Address | Detroit, MI 48202-3216 |
Second Address | Detroit, MI 48202-3216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2018 |
Last Update Date | 10/06/2019 |