Castleberg Clinic SC

Organization Active NPI Family Medicine Physician · Durand, WI

NPI 1831124403 · NPPES record last updated Mar 5, 2008

Key facts

NPI
1831124403
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
467064 (WI)
Legal business name
CASTLEBERG CLINIC SC
Practice address
905 Seventh Ave West
Durand, WI 54736
Phone
(715) 672-5981
Fax
(715) 672-3457
NPI assigned
Jul 12, 2006
Organization subpart
No

Authorized official

Name
Ms. Evelyn J Castleberg
Title
Manager
Phone
(715) 672-5981

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 467064 WI Yes

Addresses

Primary practice location

905 Seventh Ave West
Durand, WI 54736

Mailing address

905 Seventh Ave West
PO Box 40
Durand, WI 54736
Phone (715) 672-5981

Other providers in Durand, WI

All providers in Durand, WI · Family Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.