Doctor Name: | JOHN A KOSIAK |
NPI Number: | 1033101886 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MN |
License Number: | 27894 |
Business Practice Address: | North Radiation Therapy Ctr 3300 Oakdale Ave N Robbinsdale, MN - 55422 |
Business Phone Number: | 7635211426 |
Business Fax Number: | 7635211502 |
Mailing Address: | Mpls Radiation Oncology, 6950 France Ave S # 200 EDINA |
State: | MN |
Postal Code: | 55435 |
Phone Number: | 9529204915 |
Fax Number: | 9529156091 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | 27894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |