Individual provider · Type 1 NPI
Paul Stephen Costanzo, PA-C
Medical Physician Assistant · Paw Paw, MI
NPI number
1104845239
Active
Practice location
404 Hazen St, Suite L3
Paw Paw, MI 49079-1040
Fax (269) 657-1534
Mailing address
601 John St, Box 42
Kalamazoo, MI 49007-5341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003700 (MI) |
Medical Physician Assistant: Definition to come...
10 other providers at this address
- Skinner & Hang IncCommunity/Retail Pharmacy Paw Paw, MI NPI 1376554881
- Barbara L. Thompson, RPHPharmacist Paw Paw, MI NPI 1427161314
- Eui-Dong Lee, MDSurgery Physician Paw Paw, MI NPI 1861479891
- Hugh M. Sanchez, MDInternal Medicine Physician Paw Paw, MI NPI 1306829809
- Jennifer L. Sampsell, CPHTPharmacy Technician Paw Paw, MI NPI 1710090519
- Michael Kruk, MSWClinical Social Worker Paw Paw, MI NPI 1881706273
- Nadeem M. Mirza, MDPsychiatry Physician Paw Paw, MI NPI 1437159597
- Patrick Michael Lynch, R.PH.Pharmacist Paw Paw, MI NPI 1043228174
- Paul Marcus Kolon, LMSWSocial Worker Paw Paw, MI NPI 1578525077
- Rebecca L. Thoreson, MDSurgery Physician Paw Paw, MI NPI 1477762441
Other medical physician assistant providers in Paw Paw
About NPI 1104845239
Paul Stephen Costanzo, PA-C's National Provider Identifier is 1104845239, issued on Jul 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Paw Paw, MI. The record was last updated on Sep 27, 2010.