| Doctor Name: | BRIAN JEFFREY VOSKO |
| NPI Number: | 1013325828 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., PA-C |
| License Number: | 5601007008 |
| Business Practice Address: | 21031 Michigan Ave Dearborn, MI - 481242339 |
| Business Phone Number: | 3132776700 |
| Business Fax Number: | 3132160176 |
| Mailing Address: | 21031 Michigan Ave, DEARBORN |
| State: | MI |
| Postal Code: | 481242339 |
| Phone Number: | 3132776700 |
| Fax Number: | 3132160176 |
| NPI Enumeration Date: | 07/24/2014 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 5601007008 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |