Organization
JOHN S KOSTIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI M CASWELL (BILLING COORDINATOR)
(269) 381-6157
Entity
Organization
Contact information
Practice address
6010 GULL RD, KALAMAZOO, MI 49048-9452
(269) 381-6157
(269) 385-2657
Mailing address
6010 GULL RD, KALAMAZOO, MI 49048-9452
(269) 381-6157
(269) 385-2657
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
JK194300
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1210227
—
MI
Enumeration date
05/01/2008
Last updated
05/01/2008
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