DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL COSTELLO, P.A.-C.

Active

Medical Physician Assistant · TROY, MI

Registration Details

NPI Number
1083609192
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2005 (20.598516883893 yrs)
Last Updated
Jul 17, 2012
License
5601003192 (MI)

Practice Information

Address
4967 CROOKS RD
SUITE 120
TROY, MI, 480985801
Browse MI providers · Browse ZIP 48098
Phone
2489521601
Fax
2489525781
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in TROY, MI

Name Credential NPI
JENNIE BROOKS P.A.-C. 1467447573
FEMIE COLLINSON P.A.-C. 1831184514
HOWARD J HOLLINGER PA C 1609853217
KATHLEEN B ALLOR PA 1336119361
MICHELLE A PETROPOULOS PA 1982632352
KRISTI K MORRIS PA-C 1609954585
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.