Individual
DR. GUNNAR F. KOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
75 S. WYOMING AVE, VALLEY MEDICAL SUITE 2 & 3, EDWARDSVILLE, PA 18704
(570) 466-4150
(210) 539-2075
Mailing address
134 W HILLSIDE ST, SHAVERTOWN, PA 18708-1727
(570) 466-4150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008851L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001640916
—
PA
Enumeration date
03/23/2006
Last updated
05/06/2021
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