Individual
JOHN A KOSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MN
Contact information
Practice address
11850 BLACKFOOT ST NW STE 150, COON RAPIDS, MN 55433-2583
(763) 433-0221
(763) 433-0235
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
27894
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104840
UCARE
MN
01
—
110020
CHOICE PLUS
MN
01
—
2400004
MEDICA PRIMARY
MN
01
—
2400159
MEDICA
MN
01
—
24601KO
BLUE CROSS/BLUE SHIELD
MN
01
—
25137
AMERICA'S PPO
MN
05
—
30572500
—
WI
05
—
856370500
—
MN
01
—
963070250005
PREFERRED ONE
MN
01
—
HP13729
HEALTH PARTNERS
MN
Enumeration date
08/18/2005
Last updated
11/28/2023
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