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Search › Michigan › 207Q00000X

Thomas Costantino, DO

NPI 1710926399 · on the registry since 2006

Practice

Address
14319 Dix Toledo Rd
Southgate, MI 48195
Phone
(734) 285-0677
Fax
(734) 285-3574
Organisation at this address
Blanzy Clinic
Vip Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan