Individual
DONALD J KOSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3318 N 14TH ST, BISMARCK, ND 58503-1614
(701) 323-8300
(701) 323-5709
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4380
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17882
—
ND
Enumeration date
10/03/2006
Last updated
09/11/2007
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