Individual provider · Type 1 NPI

Brye Finoxelli Kostopouelus

Technician/Technologist · Southgate, MI

NPI number 1134801517 Active

Practice location

1 Heritage Dr Ste 100
Southgate, MI 48195-3047

Mailing address

4146 Allegheny Dr
Newport, MI 48166-7819

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1134801517

Brye Finoxelli Kostopouelus's National Provider Identifier is 1134801517, issued on Aug 3, 2023. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Southgate, MI. The record was last updated on Aug 4, 2023.