person
Michael Kostenko, MD
General Practice Physician in Tacoma, Washington
NPI 1467083980

Michael Kostenko is a General Practice Physician based in Tacoma, WA. Michael Kostenko practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Michael Kostenko is 1467083980 and holds a License No. 33779 (Washington).

The current practice location address for Michael Kostenko is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-0117.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
person
Provider Profile Details
NPI Number
1467083980
Provider Name
Michael Kostenko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-0117
Fax Number
Provider Enumeration Date
02/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-0117
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-0117
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
33779 (Nebraska)
Definition
Definition to come...
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