MS. Mary Darlene Kostelecky

NPI #1720223787 in Dickinson, North Dakota

Provider Information

NPI Number: 1720223787
Entity Type: Individual
Name: MS. Mary Darlene Kostelecky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Dec 4, 2008
Last Updated: Aug 26, 2019

Practice Location

Address: 300 13TH AVE W STE 1
City: Dickinson
State: North Dakota
ZIP Code: 58601-4875
Phone: (701) 227-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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