Search › Michigan › 207XS0117X
Theodore Kostiuk, D.O
NPI 1952544876 · on the registry since 2009
Practice
- Address
- 370 N 120th Ave Ste 20
Holland, MI 49424 - Phone
- (616) 396-5855
- Fax
- (616) 396-5720
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 207XS0117X
207XS0117X
- Also registered as
- 207X00000X
390200000X - Licence states on file
- IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-04
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