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Dr. Corinne Dianne Costellic

Surgeon Surgical Oncologist

44199 Dequindre Rd Ste 612
Troy , Michigan 48085-1128

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Dr. Corinne Dianne Costellic

Surgeon Surgical Oncologist

44199 Dequindre Rd Ste 612
Troy , Michigan 48085-1128

(947) 522-0307

Write a Review Save Call

Dr. Corinne Dianne Costellic

Surgeon Surgical Oncologist

44199 Dequindre Rd Ste 612
Troy , Michigan 48085-1128

(947) 522-0307 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Surgical Oncologist

Languages spoken

  • English

Location

44199 Dequindre Rd Ste 612 Troy , Michigan 48085-1128

First Address

  • Dr. Corinne Dianne Costellic
  • 26901 Beaumont Blvd Suite 3d
  • Southfield, MI
  • Zip : 48033-3849
  • Fax : (947) 522-0307
  • Phone : (947) 522-1860

Second Address

  • Dr. Corinne Dianne Costellic
  • 44199 Dequindre Rd Ste 612
  • Troy, MI
  • Zip : 48085-1128
  • Fax : (248) 964-5175
  • Phone : (248) 964-5170

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FAQs


Where did Dr. Corinne Dianne Costellic attend graduate school?

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Where did Dr. Corinne Dianne Costellic do her residency?

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Where did Dr. Corinne Dianne Costellic do her fellowship?

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Is Dr. Corinne Dianne Costellic board certified?

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What type of doctor is Dr. Corinne Dianne Costellic

Surgeon

In what state does Dr. Corinne Dianne Costellic practice in?

Michigan

Where is Dr. Corinne Dianne Costellic ’s practice located?

44199 Dequindre Rd Ste 612 , Troy, Michigan, 48085-1128

What is Dr. Corinne Dianne Costellic ’s gender?

Female

Is Dr. Corinne Dianne Costellic a sole practitioner?

No

Is Dr. Corinne Dianne Costellic accepting new patients?

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What languages does Dr. Corinne Dianne Costellic speak?

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Does Dr. Corinne Dianne Costellic accept insurance?

Yes, Dr. Corinne Dianne Costellic accepts insurance

Does Dr. Corinne Dianne Costellic offers telemedicine?

Dr. Corinne Dianne Costellic has not indicated if she offers telemedicine

What is Dr. Corinne Dianne Costellic ’s professional license number?

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What is Dr. Corinne Dianne Costellic ’s NPI number?

1194955104

Does Dr. Corinne Dianne Costellic have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208200000X Surgeon 5101018177 MI
Y 208600000X Surgeon 5101018177 MI
N 2086X0206X Surgical Oncologist H0079964 MD

National Provider Identifier

NPI 1194955104
Provider Name Dr. Corinne Dianne Costellic
First Address Southfield, MI 48033-3849
Second Address Troy, MI 48085-1128
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/07/2009
Last Update Date 13/02/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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