Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marissa Kristen Costello, MD

Individual provider Family Medicine Physician · NPI 1467071860

Dr. Marissa Kristen Costello, MD is a Family Practice in Canton, Michigan. Graduated from Michigan State University College of Human Medicine in 2020, 6 years ago. Practices with Oakwood Ambulatory LLC, a 272-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2050 N Haggerty Rd Ste 100
Canton, MI 48187-3796
Phone: (734) 446-9760
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33155 Annapolis St, Wayne, MI 48184-2405 — (734) 467-4000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301509137 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4352001003 (MI)

Record details

NPI number1467071860
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2020 (6 years in practice)
Group practice Oakwood Ambulatory Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Canton