MICHAEL MERRITT KOSTENKO

DANIELS, WV
NPI1548328800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  1078)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
Dr. MICHAEL MERRITT KOSTENKO DO
3050 C & O DAM ROAD
DANIELS, WV 25832
Phone number: 304-763-0199
Mailing Address
Dr. MICHAEL MERRITT KOSTENKO DO
P O BOX 88 3050 C & O DAM ROAD
DANIELS, WV 25832
Phone number: 304-763-0199
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