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

Theodora A Costin, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1609564715

Theodora A Costin, DO is an Obstetrics & Gynecology Physician in Wyandotte, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (313) 916-1601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 5151016357 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609564715
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address2333 Biddle Ave, Wyandotte, MI 48192-4668

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