ANTHONY JAMES COSTA

GRAND BLANC, MI
NPI1306686423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4351053098)
Enumeration Date2024-05-28
Last Update Date2024-05-28
Business Address
ANTHONY JAMES COSTA
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 810-606-5000
Mailing Address
ANTHONY JAMES COSTA
54752 SPYRIA DR
SHELBY TWP, MI 48315-1427
Phone number:
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