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NPI Code Detail

MEDICARE: DONALD J KOSIAK MD

MEDICARE: DONALD J KOSIAK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4380ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629162706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD J KOSIAK MD
Provider Business Mailing Address
First Line : PO BOX 5501
Second Line :
City : BISMARCK
State : ND
Zip : 58506-5501
Country : US
Telephone Number : 701-323-6000
Fax Number : 701-323-5709
Provider Business Practice Location Address
First Line : 3318 N 14TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1614
Country : US
Telephone Number : 701-323-8300
Fax Number : 701-323-5709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/11/2007

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