Dr. Corinne Dianne Costellic, DO
Dr. Corinne Dianne Costellic is a Surgery Physician provider (Surgery) practicing in Troy, MI, registered in the NPPES registry with NPI 1194955104 since 2009. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194955104 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Corinne Dianne Costellic |
| Credential | DO |
| Sex | Female |
| Practice address | 44199 DEQUINDRE RD STE 612, Troy, MI, 48085 |
| Phone | 2489645170 |
| Fax | 2489645175 |
| Enumeration date | 2009-07-24 |
| Last updated in NPPES | 2022-07-14 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086X0206X | Surgical Oncology Physician | Secondary | H0079964 | MD |
| 208600000X | Surgery Physician | Primary | 5101018177 | MI |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Copy-ready billing details
Provider: Corinne Costellic, DO NPI: 1194955104 Taxonomy: 208600000X (Surgery Physician) Address: 44199 DEQUINDRE RD STE 612, Troy, MI, 48085
Verify this record
Cross-check NPI 1194955104 against the authoritative CMS record: view Dr. Corinne Dianne Costellic on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-14.