Dr. Peter Anthony Costantino Jr., D.C.
Chiropractor in Warren, MI. Individual provider (NPI-1).
NPI number1124157623
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124157623
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Anthony Costantino Jr.
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2301005635 | MI | Yes |
Practice location
29856 Schoenherr RdSuite 2
Warren, MI 48088-3600
Phone 586-443-5000 · Fax 586-443-5002
Mailing address
29856 Schoenherr RdSuite 2
Warren, MI 48088-3600
Phone 586-443-5000 · Fax 586-443-5002
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