Healthcare Provider Details

I. General information

NPI: 1578580411
Provider Name (Legal Business Name): FERNANDO CASTRO-URRUTIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 11/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 E CHICAGO ST
COLDWATER MI
49036-2046
US

IV. Provider business mailing address

1131 N OSSEO RD
HILLSDALE MI
49242-9714
US

V. Phone/Fax

Practice location:
  • Phone: 517-278-9812
  • Fax:
Mailing address:
  • Phone: 517-523-3695
  • Fax: 517-523-3311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberFC067134
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: