Individual provider · Type 1 NPI

Michael Costello, P.A.-C.

Medical Physician Assistant · Troy, MI

NPI number 1083609192 Active

Practice location

4967 Crooks Rd, Suite 120
Troy, MI 48098-5801

Fax (248) 952-5781

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003192 (MI)

Medical Physician Assistant: Definition to come...

36 other providers at this address

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About NPI 1083609192

Michael Costello, P.A.-C.'s National Provider Identifier is 1083609192, issued on Sep 14, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Troy, MI. The record was last updated on Jul 17, 2012.