Individual
DR. JOHN WESLEY KOSKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
26795
KS
208800000X
Urology Physician
33311
AZ
208800000X
Urology Physician
Primary
50675
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100282080A
—
KS
Enumeration date
09/08/2006
Last updated
12/20/2011
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