BRYE KOSTOPOUELUS

Technician/Technologist

Active Individual
NPI: 1134801517

Practice Address

1 HERITAGE DR STE 100
Southgate, MI 48195

Phone: (734) 731-2742

Specialties

Specialty Code Primary License
Technician/Technologist 156F00000X Yes -

Frequently Asked Questions

NPI 1134801517 is the National Provider Identifier for BRYE KOSTOPOUELUS, a Technician/Technologist provider located in Southgate, MI. This NPI was enumerated on August 3, 2023.
BRYE KOSTOPOUELUS practices at 1 HERITAGE DR STE 100, Southgate, MI 48195.

Quick Facts

NPI
1134801517
Type
Individual
Enumerated
Aug 3, 2023
Last Updated
Aug 4, 2023

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