MICHAEL COSTELLO

TROY, MI
NPI1083609192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601003192)
Enumeration Date2005-09-14
Last Update Date2012-07-17
Business Address
-- MICHAEL COSTELLO P.A.-C.
4967 CROOKS RD SUITE 120
TROY, MI 48098-5801
Phone number: 248-952-1601
Mailing Address
-- MICHAEL COSTELLO P.A.-C.
4967 CROOKS RD SUITE 120
TROY, MI 48098-5801
Phone number: 248-952-1601
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