Individual provider · Type 1 NPI

Corinne Dianne Costellic, DO

Surgery Physician · Troy, MI

NPI number 1194955104 Active

Practice location

44199 Dequindre Rd Ste 612
Troy, MI 48085-1128

Fax (248) 964-5175

Mailing address

26901 Beaumont Blvd Suite 3D
Southfield, MI 48033-3849

Other practice locations

  • 33155 Annapolis St, Wayne, MI 48184-2405 · (734) 467-2670
  • 33101 Annapolis St, Wayne, MI 48184-2405 · (734) 467-2670

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician 2086X0206XH0079964 (MD)
Surgery Physician Primary 208600000X5101018177 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

Other surgery physician providers in Troy

See all in Troy →

About NPI 1194955104

Corinne Dianne Costellic, DO's National Provider Identifier is 1194955104, issued on Jul 24, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Troy, MI. The record was last updated on Jul 14, 2022.