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Theodora A Costin, DO
Student in an Organized Health Care Education/Training Program in Wyandotte, Michigan
NPI 1609564715

Theodora A Costin is a Student in an Organized Health Care Education/Training Program based in Wyandotte, MI. Theodora A Costin practices in Wyandotte, MI and has the professional credentials of DO. The NPI Number for Theodora A Costin is 1609564715 and holds a License No. 5151016357 (Michigan).

The current practice location address for Theodora A Costin is 2333 Biddle Ave, Wyandotte, MI and can be reached out via phone at 313-916-1601.

Location: 2333 Biddle Ave, Wyandotte, MI, 48192-4668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609564715
Provider Name
Theodora A Costin
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2333 Biddle Ave, Wyandotte, MI, 48192-4668
Phone Number
313-916-1601
Fax Number
Provider Enumeration Date
04/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
313-916-1601
Fax Number
person
Provider Business Mailing Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
313-916-1601
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151016357 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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