Individual
YURY KOSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24681 S ELDA CT APT 81C, HARRISON TWP, MI 48045-2376
(586) 344-9190
Mailing address
24681 S ELDA CT APT 81C, HARRISON TWP, MI 48045-2376
(586) 344-9190
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
800529342
MI
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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