person
Michael Costello, PA-C
Medical Physician Assistant in Troy, Michigan
NPI 1083609192

Michael Costello is a Medical Physician Assistant based in Troy, MI and is specialized in Medical. Michael Costello practices in Troy, MI and has the professional credentials of PA-C. The NPI Number for Michael Costello is 1083609192 and holds a License No. 5601003192 (Michigan).

The current practice location address for Michael Costello is 4967 Crooks Rd, Troy, MI and can be reached out via phone at 248-952-1601 and via fax at 248-952-5781.

Location: 4967 Crooks Rd, Troy, MI, 48098-5801
person
Provider Profile Details
NPI Number
1083609192
Provider Name
Michael Costello
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4967 Crooks Rd, Troy, MI, 48098-5801
Phone Number
248-952-1601
Fax Number
248-952-5781
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4967 Crooks Rd
City
State
Zip
48098-5801
Phone Number
248-952-1601
Fax Number
248-952-5781
person
Provider Business Mailing Address Details
Address
4967 Crooks Rd
City
State
Zip
48098-5801
Phone Number
248-952-1601
Fax Number
248-952-5781
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601003192 (Michigan)
Definition
Definition to come...
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