Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE ANTHONY KOSTIUK IV, D.O.
ActiveDR. THEODORE ANTHONY KOSTIUK IV, D.O. is a Orthopaedic Surgery of the Hand healthcare provider located in HOLLAND, Michigan. NPI 1952544876 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery of the Hand · HOLLAND, MI
Registration Details
- NPI Number
- 1952544876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2009 (17.398555236221 yrs)
- Last Updated
- Mar 4, 2019
- Licenses
-
02004389A (IN)5101021584 (MI)
Practice Information
- Address
-
370 N 120TH AVE STE 20HOLLAND, MI, 494242196Browse MI providers · Browse ZIP 49424
- Phone
- 6163965855
- Fax
- 6163965720
- Primary Specialty
-
Orthopaedic Surgery of the Hand
207XS0117X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Orthopaedic Surgery of the Hand
Other Orthopaedic Surgery of the Hand Providers in HOLLAND, MI
| Name | Credential | NPI |
|---|---|---|
| JOHN LOUIS EHLERT | M.D. | 1790774214 |
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.