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Thomas G Costantino, DO
Family Medicine Physician in Southgate, Michigan
NPI 1710926399

Thomas G Costantino is a Family Medicine Physician based in Southfield, MI. Thomas G Costantino practices in Southgate, MI and has the professional credentials of DO. The NPI Number for Thomas G Costantino is 1710926399 and holds a License No. 5101006373 (Michigan).

The current practice location address for Thomas G Costantino is 14319 Dix Toledo Rd, Southgate, MI and can be reached out via phone at 734-285-0677 and via fax at 734-285-3574.

Location: 14319 Dix Toledo Rd, Southgate, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710926399
Provider Name
Thomas G Costantino
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
14319 Dix Toledo Rd, Southgate, MI, 48033-3849
Phone Number
734-285-0677
Fax Number
734-285-3574
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
791126254 01 MEDICARE RAILROAD
C3241 01 M-CARE
E26804 01 HEALTH ALLIANCE PLAN
125036 01 CARE CHOICES
111059129 05 MI
5823153 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
14319 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2506
Phone Number
734-285-0677
Fax Number
734-285-3574
person
Provider Business Mailing Address Details
Address
14319 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2506
Phone Number
734-285-0677
Fax Number
734-285-3574
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101006373 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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