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Organization

PETER A COSTANTINO JR DC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER ANTHONY COSTANTINO JR. D.C. (PRESIDENT)
(586) 443-5000
Entity
Organization

Contact information

Practice address
29856 SCHOENHERR RD, SUITE 2, WARREN, MI 48088-3600
(586) 443-5000
(586) 443-5002
Mailing address
29856 SCHOENHERR RD, SUITE 2, WARREN, MI 48088-3600
(586) 443-5000
(586) 443-5002

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005635
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950E053280
BCBSM
MI
Enumeration date
03/02/2007
Last updated
02/03/2012
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