DR. Michael G. Kostelecky, O.D.

NPI #1326102542 in Bismarck, North Dakota

Provider Information

NPI Number: 1326102542
Entity Type: Individual
Name: DR. Michael G. Kostelecky, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 21, 2006
Last Updated: Feb 26, 2008

Practice Location

Address: 2331 TYLER PARKWAY
Address 2: SUITE 2
City: Bismarck
State: North Dakota
ZIP Code: 58503
Phone: (701) 258-4384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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