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

Maria Kostritsyna

Individual provider Family Medicine Physician · NPI 1649683590

Maria Kostritsyna is a Family Medicine Physician in South Lyon, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

210 N Lafayette St Providence Medical Ctr
South Lyon, MI 48178-2048
Phone: (248) 849-3441
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301105440 (MI)

Record details

NPI number1649683590
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2014
Last updated in NPPESJune 9, 2014

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