Whalio Doctors

NPI 1306969993

Anna M Kostanecka, MD

Practitioner Developmental - Behavioral Pediatrics Physician Eden Prairie, MN

Practice location

Address
8455 Flying Cloud Dr STE 205, Eden Prairie, MN 55344-3974
Phone
(952) 993-2498
Mailing address
3800 Park Nicollet Blvd Credentialing, St Louis Park, MN 55416-2527

Registered specialties (3)

Developmental - Behavioral Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 50277 (MN)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 230420 (NY)
Developmental - Behavioral Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence MD424753 (PA)

Registry record

NPI
1306969993
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Apr 2007
Record last updated
2 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.