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Paul Stephen Costanzo, PA-C
Medical Physician Assistant in Paw Paw, Michigan
NPI 1104845239

Paul Stephen Costanzo is a Medical Physician Assistant based in Kalamazoo, MI and is specialized in Medical. Paul Stephen Costanzo practices in Paw Paw, MI and has the professional credentials of PA-C. The NPI Number for Paul Stephen Costanzo is 1104845239 and holds a License No. 5601003700 (Michigan).

The current practice location address for Paul Stephen Costanzo is 404 Hazen St, Paw Paw, MI and can be reached out via phone at 269-657-1595 and via fax at 269-657-1534.

Location: 404 Hazen St, Paw Paw, MI, 49007-5341
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Provider Profile Details
NPI Number
1104845239
Provider Name
Paul Stephen Costanzo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
404 Hazen St, Paw Paw, MI, 49007-5341
Phone Number
269-657-1595
Fax Number
269-657-1534
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0H060020 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
404 Hazen St
City
State
Zip
49079-1040
Phone Number
269-657-1595
Fax Number
269-657-1534
person
Provider Business Mailing Address Details
Address
404 Hazen St
City
State
Zip
49079-1040
Phone Number
269-657-1595
Fax Number
269-657-1534
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601003700 (Michigan)
Definition
Definition to come...
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