Individual
DR. ANTONY B COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6642 PENN AVE S, RICHFIELD, MN 55423-2026
(612) 861-3389
Mailing address
6642 PENN AVE S, RICHFIELD, MN 55423-2026
(612) 861-3389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2534
MN
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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