Individual
SARAH KOSTUSYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37453 CAMELLIA LN, CLINTON TWP, MI 48036-2022
(248) 872-4253
Mailing address
37453 CAMELLIA LN, CLINTON TWP, MI 48036-2022
(248) 872-4253
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704372740
MI
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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