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Individual
NICOLAS ALEXANDER KOSTELECKY
Active
Individual
NICOLAS ALEXANDER KOSTELECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
4301513424
MI
207ZN0500X
Neuropathology Physician
036.158663
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2019022857
MO
Other
Enumeration date
06/27/2019
Last updated
03/03/2025
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