MICHAEL KOSTENKO

TACOMA, WA
NPI1467083980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: NE  33779)
Enumeration Date2020-02-03
Last Update Date2023-08-04
Business Address
MICHAEL KOSTENKO MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0117
Mailing Address
MICHAEL KOSTENKO MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number:
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