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Jacastillano Pllc
Vascular & Interventional Radiology Physician in Troy, Michigan
NPI 1861905739

Jacastillano Pllc is a Vascular & Interventional Radiology Physician based in Troy, MI and is specialized in Vascular & Interventional Radiology. Jacastillano Pllc practices in Troy, MI. The NPI Number for Jacastillano Pllc is 1861905739 and holds a License No. 4301100455 (Michigan).

The current practice location address for Jacastillano Pllc is 5310 Breeze Hill Pl, Troy, MI and can be reached out via phone at 904-252-3930.

Location: 5310 Breeze Hill Pl, Troy, MI, 48098-2725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861905739
Provider Name
Jacastillano Pllc
Credential
Provider Entity Type
Organization
Address
5310 Breeze Hill Pl, Troy, MI, 48098-2725
Phone Number
904-252-3930
Fax Number
Provider Enumeration Date
11/14/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301100455 01 MI MI LIC#
institution
Provider Business Practice Location Address Details
Address
5310 Breeze Hill Pl
City
Troy
State
Michigan
Zip
48098-2725
Phone Number
904-252-3930
Fax Number
person
Provider Business Mailing Address Details
Address
5310 Breeze Hill Pl
City
Troy
State
Michigan
Zip
48098-2725
Phone Number
904-252-3930
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
4301100455 (Michigan)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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