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 10 years ago
Practice Location
3601 W 13 MILE RD
ROYAL OAK MI, 48073-6712, US
Phone (248) 551-4484
Fax
Business Location
3601 W 13 MILE RD
400-FSC/PCS
ROYAL OAK MI, 48073-6712, US
Phone
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Michigan
License Number 4301406933
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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.