Individual provider · Type 1 NPI

Marissa Kristen Costello, MD

Family Medicine Physician · Canton, MI

NPI number 1467071860 Active

Practice location

2050 N Haggerty Rd Ste 100
Canton, MI 48187-3796

Call (734) 446-9760 Map

Mailing address

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

Other practice locations

  • 33155 Annapolis St, Wayne, MI 48184-2405 · (734) 467-4000

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X4352001003 (MI)
Family Medicine Physician Primary 207Q00000X4301509137 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1467071860

Marissa Kristen Costello, MD's National Provider Identifier is 1467071860, issued on Apr 15, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Canton, MI. The record was last updated on Jun 16, 2023.