Individual
WILLIAM MICHAEL COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1430 TULANE AVE # 8050, NEW ORLEANS, LA 70112-2632
(504) 988-7809
(504) 988-3971
Mailing address
300 N WATER ST APT 307, MOBILE, AL 36602-4018
(954) 815-5390
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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