Ryan Michael Kosek, PA-C
Physician Assistant in Bloomington, MN. Individual provider (NPI-1).
NPI number1295200327
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1295200327
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Michael Kosek
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2018
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 14104 | MN | Yes |
| 363A00000X | Physician Assistant | 7089-23 | WI | |
| 363A00000X | Physician Assistant | – | – | |
| 363A00000X | Physician Assistant | PA.0005591 | CO |
Practice location
4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435
Phone 952-767-4574
Mailing address
407 E 3rd StDuluth, MN 55805-1950
Phone 218-786-4000
Other practice locations
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Vail, CO 81657-5058
Phone 970-476-1100 · Fax 970-672-0872
1400 E Boulder St
Colorado Springs, CO 80909-5533
Colorado Springs, CO 80909-5533
Phone 719-365-6820 · Fax 719-365-6595
407 E 3rd St
Duluth, MN 55805-1950
Duluth, MN 55805-1950
Phone 218-786-4000
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All 133 Physician Assistant providers in Bloomington · All 4,142 providers in Bloomington
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