NPI 1265472393

Robert a Koshnick, MD

Practitioner Family Medicine Physician Detroit Lakes, MN

Practice location

Address: 1027 Washington Ave, Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 19195 (MN)

Other Family Medicine providers in Minnesota →

Registry record

NPI: 1265472393
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2006
Record last updated: 22 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.