Costellic, Corinne Dianne

Costellic, Corinne Dianne is an individual health care provider with primary practice located at 44199 Dequindre Rd Ste 612 , Troy MI 48085-1128. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Costellic, Corinne Dianne can be contacted via phone (248) 964-5170.

Contact Information

Primary practice address
44199 Dequindre Rd Ste 612 Troy MI 48085-1128
Phone: (248) 964-5170
Fax: (248) 964-5175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X H0079964 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101018177 Michigan

Profile Details

NPI number 1194955104
LBN Legal business name Costellic, Corinne Dianne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2009
Last updated Jul 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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