ANDREW COSTERISAN

DAYTON, OH
NPI1477825651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.008187RX)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA 9106409)
363A00000X Physician Assistant
(Licence: IL  085004969)
Enumeration Date2012-02-02
Last Update Date2025-10-01
Business Address
Mr. ANDREW COSTERISAN PA-C
101 E ALEX BELL RD STE 190
DAYTON, OH 45459-2752
Phone number: 937-425-4030
Mailing Address
Mr. ANDREW COSTERISAN PA-C
2801 MATHERS RD
SPRINGFIELD, IL 62711-7064
Phone number: 217-789-3600