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Individual

MR. RYAN MICHAEL KOSEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14104
MN
363A00000X
Physician Assistant
7089-23
WI
363A00000X
Physician Assistant
PA.0005591
CO
363A00000X
Physician Assistant

Other

Enumeration date
10/04/2018
Last updated
11/05/2024
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