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Dr. Theodore Anthony Kostiuk IV, DO
Orthopedic Surgery of the Spine Physician in Holland, Michigan
NPI 1952544876

Theodore Anthony Kostiuk IV is a Orthopedic Surgery of the Spine Physician based in Holland, MI and is specialized in Orthopedic Surgery of the Spine. Theodore Anthony Kostiuk IV practices in Holland, MI and has the professional credentials of DO. The NPI Number for Theodore Anthony Kostiuk IV is 1952544876 and holds a License No. 02004389A (Michigan).

The current practice location address for Theodore Anthony Kostiuk IV is 370 N 120Th Ave Ste 20, Holland, MI and can be reached out via phone at 616-396-5855 and via fax at 616-396-5720.

Location: 370 N 120Th Ave Ste 20, Holland, MI, 49424-2196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952544876
Provider Name
Theodore Anthony Kostiuk IV
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
370 N 120Th Ave Ste 20, Holland, MI, 49424-2196
Phone Number
616-396-5855
Fax Number
616-396-5720
Provider Enumeration Date
04/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201244390 05 IN
institution
Provider Business Practice Location Address Details
Address
370 N 120Th Ave Ste 20
City
Holland
State
Michigan
Zip
49424-2196
Phone Number
616-396-5855
Fax Number
616-396-5720
person
Provider Business Mailing Address Details
Address
370 N 120Th Ave Ste 20
City
Holland
State
Michigan
Zip
49424-2196
Phone Number
616-396-5855
Fax Number
616-396-5720
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
5101021584 (Michigan)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
()
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02004389A (Indiana)
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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