Individual provider · Type 1 NPI

Michelle Renee Kostelac, PA-C

Medical Physician Assistant · Harrisburg, PA

NPI number 1467430918 Active

Practice location

4760 Union Deposit Road, Suite 100
Harrisburg, PA 17111-3729

Call (717) 545-9811 Map

Fax (717) 545-9979

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA053165 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1467430918

Michelle Renee Kostelac, PA-C's National Provider Identifier is 1467430918, issued on Jan 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Harrisburg, PA. The record was last updated on Aug 17, 2011.