Individual
DR. CHRISTINE MARIE COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 S BALDWIN ST, MADISON, WI 53703-4805
(608) 257-1724
(608) 257-2371
Mailing address
408 S BALDWIN ST, MADISON, WI 53703
(608) 257-1724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36169-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32125800
—
WI
Enumeration date
12/01/2006
Last updated
05/10/2016
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