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Olga Kostakos, MD
Student in an Organized Health Care Education/Training Program in Essexville, Michigan
NPI 1396420584

Olga Kostakos is a Student in an Organized Health Care Education/Training Program based in Essexville, MI. Olga Kostakos practices in Essexville, MI and has the professional credentials of MD. The NPI Number for Olga Kostakos is 1396420584 and holds a License No. 4351051879 (Michigan).

The current practice location address for Olga Kostakos is 1458 W Center Rd Ste 1, Essexville, MI and can be reached out via phone at 989-895-4625.

Location: 1458 W Center Rd Ste 1, Essexville, MI, 48732-2151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396420584
Provider Name
Olga Kostakos
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1458 W Center Rd Ste 1, Essexville, MI, 48732-2151
Phone Number
989-895-4625
Fax Number
Provider Enumeration Date
06/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1458 W Center Rd Ste 1
City
Essexville
State
Michigan
Zip
48732-2151
Phone Number
989-895-4625
Fax Number
person
Provider Business Mailing Address Details
Address
1458 W Center Rd Ste 1
City
Essexville
State
Michigan
Zip
48732-2151
Phone Number
989-895-4625
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4351051879 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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