Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARISSA KRISTEN COSTELLO, MD
ActiveDR. MARISSA KRISTEN COSTELLO, MD is a Family Medicine healthcare provider located in CANTON, Michigan. NPI 1467071860 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CANTON, MI
Registration Details
- NPI Number
- 1467071860
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2020 (6.3289727032812 yrs)
- Last Updated
- Jun 16, 2023
- Licenses
-
4352001003 (MI)4301509137 (MI)
Practice Information
- Address
-
2050 N HAGGERTY RD STE 100CANTON, MI, 481873796Browse MI providers · Browse ZIP 48187
- Phone
- 7344469760
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CANTON, MI
| Name | Credential | NPI |
|---|---|---|
| PAMELA M GEPPERT | DO | 1073591608 |
| KENNETH J GRIMM | MD | 1215916101 |
| WILLIAM F ROLLINS | DO | 1629048152 |
| MIGUEL GRANADOS | MD | 1043283286 |
| LORI WEIDE | MD | 1659344562 |
| BHAVANI SUNDRAM WHIPPS | MD | 1285607184 |
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.