Search › Michigan › 156FX1800X
Alexander Costin, ABO-C, NCLE-C
NPI 1740967967 · on the registry since 2023
Practice
- Address
- 355 54th St Sw
Wyoming, MI 49548 - Phone
- (616) 552-6228
- Fax
- (616) 534-2909
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Also registered as
- 156FC0800X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-23
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