Individual
DR. BRYAN RANDALL COSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
(440) 695-4010
(440) 695-4115
Mailing address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
(440) 695-4010
(440) 695-4115
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
098887
OH
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
02/09/2009
Last updated
04/13/2015
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