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

Michael Costello, PA-C

Individual provider Medical Physician Assistant · NPI 1083609192

Michael Costello, PA-C is a Medical Physician Assistant in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4967 Crooks Rd Ste 120
Troy, MI 48098-5801
Phone: (248) 952-1601
Fax: (248) 952-5781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601003192 (MI)

Record details

NPI number1083609192
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESJuly 17, 2012
Mailing address4967 Crooks Rd, Suite 120, Troy, MI 48098-5801

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