Individual
MR. ALEXANDER COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABO-C, NCLE-C
Contact information
Practice address
355 54TH ST SW, WYOMING, MI 49548-5614
(616) 552-6228
(616) 534-2909
Mailing address
545 VAN ALLEN ST SE, WYOMING, MI 49548-1229
(616) 534-2909
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
250670
MI
156FX1800X
Optician
Primary
250670
MI
Other
Enumeration date
06/29/2023
Last updated
02/23/2026
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