Organization
REKHA KOSTECKE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REKHA KOSTECKE M.D. (PRESIDENT)
(248) 676-0991
Entity
Organization
Contact information
Practice address
1550 N MILFORD RD, SUITE 307, MILFORD, MI 48381-1058
(248) 676-0991
(248) 676-9862
Mailing address
1550 N MILFORD RD, SUITE 307, MILFORD, MI 48381-1058
(248) 676-0991
(248) 676-9862
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301055825
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4078235-10
—
MI
Enumeration date
09/21/2011
Last updated
09/21/2011
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