Individual
DR. CHAD KOSTECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14020 PILOT KNOB RD, APPLE VALLEY, MN 55124-6601
(952) 322-1163
(952) 322-3439
Mailing address
14020 PILOT KNOB RD, APPLE VALLEY, MN 55124-6601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118234
MN
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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