Individual
MAREK KOSTANECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7000
(651) 982-7110
Mailing address
914 PENN VALLEY RD, MEDIA, PA 19063-1652
(610) 891-0545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD425277
PA
Other
Enumeration date
08/20/2006
Last updated
12/20/2021
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