CORINNE DIANNE COSTELLIC

TROY, MI
NPI1194955104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MI  5101018177)
Additional Taxonomies2086X0206X Surgery, Surgical Oncology
(Licence: MD  H0079964)
Enumeration Date2009-07-24
Last Update Date2022-07-14
Business Address
Dr. CORINNE DIANNE COSTELLIC DO
44199 DEQUINDRE RD STE 612
TROY, MI 48085-1128
Phone number: 248-964-5170
Mailing Address
Dr. CORINNE DIANNE COSTELLIC DO
26901 BEAUMONT BLVD SUITE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1860