REBEKAH COSTELLO DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1326452921- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 3400 MARKET LN, KENOSHA, WI, 531443430
- Phone
- (262) 551-4600
- Fax
- (262) 551-4630
Specialties & Taxonomies
Family Medicine
License: KY #05775
Family Medicine
Primary License: WI #71089-21
Family Medicine
License: IL #036.144957