Individual
DR. DIANA KOSTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.PHARM, PHARM.D.
Contact information
Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL K-13 HEM/ONC, DETROIT, MI 48202-2608
(313) 916-8949
(313) 916-2312
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8949
(313) 916-2312
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
5302030349
MI
Other
Enumeration date
07/18/2013
Last updated
09/11/2014
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