Kostaki Bis

NPI 1063481521 - Radiology - 2085R0202X

NPI Details
NPI 1063481521
Gender Male
Enumeration Date 03/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
3601 W 13 MILE RD
ROYAL OAK MI, 48073-6712, US
Phone (248) 551-4484
Business Location
3601 W 13 MILE RD
ROYAL OAK MI, 48073-6712, US
Taxonomy Code 2085R0202X
License State Michigan
License Number 4301406933
Remove 1063481521 NPI Number

According to our database, Kostaki Bis NPI is 1063481521, taxonomy code is 2085R0202X and license number is 4301406933, license state is located at Michigan. Kostaki Bis physically located at 3601 W 13 Mile Rd, Royal Oak MI, 48073-6712. NPI Number Kostaki Bis has the Individual type.

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1063481521 NPI number is provided on an as is basis without warranty of any kind. 1063481521 is maintained by the National Plan & Provider Enumeration System. The contents of Kostaki Bis are for informational purposes only.