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Mrs. Michelle Deanne Kostner, PA
Medical Physician Assistant in San Diego, California
NPI 1891197943

Michelle Deanne Kostner is a Medical Physician Assistant based in Poway, CA and is specialized in Medical. Michelle Deanne Kostner practices in San Diego, CA and has the professional credentials of PA. The NPI Number for Michelle Deanne Kostner is 1891197943 and holds a License No. 51929 (California).

The current practice location address for Michelle Deanne Kostner is 10605 Scripps Poway Pkwy, San Diego, CA and can be reached out via phone at 858-622-0554.

Location: 10605 Scripps Poway Pkwy, San Diego, CA, 92064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891197943
Provider Name
Michelle Deanne Kostner
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
10605 Scripps Poway Pkwy, San Diego, CA, 92064
Phone Number
858-622-0554
Fax Number
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10605 Scripps Poway Pkwy
City
San Diego
State
California
Zip
92131-3925
Phone Number
858-622-0554
Fax Number
person
Provider Business Mailing Address Details
Address
10605 Scripps Poway Pkwy
City
San Diego
State
California
Zip
92131-3925
Phone Number
858-622-0554
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
51929 (California)
Definition
Definition to come...
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