Individual
STEVEN ROBERT KOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
1 VETERANS DR, 127A, MINNEAPOLIS, MN 55417-2309
(612) 467-4462
(612) 727-5693
Mailing address
1 VETERANS DR, 127A, MINNEAPOLIS, MN 55417-2309
(612) 467-4462
(612) 727-5693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5161
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00366773
ASHA
MN
01
—
5161
MN DEPT. OF HEALTH
MN
Enumeration date
08/24/2006
Last updated
07/08/2007
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