Individual
DR. MEGHAN ANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
887 LYNCH DR STE 8, TRAVERSE CITY, MI 49686-4837
(231) 633-2494
Mailing address
887 LYNCH DR STE 8, TRAVERSE CITY, MI 49686-4837
(231) 633-2494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134462195
MEDICARE
MI
Enumeration date
09/26/2011
Last updated
07/21/2022
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