Provider Demographics
NPI:1023338282
Name:HOSKER, ROBERT JOHN (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:HOSKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2355 HIGHWAY 36 W
Mailing Address - Street 2:STE 100
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3905
Mailing Address - Country:US
Mailing Address - Phone:651-292-2000
Mailing Address - Fax:651-681-1140
Practice Address - Street 1:2355 HIGHWAY 36 W
Practice Address - Street 2:STE 100
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3905
Practice Address - Country:US
Practice Address - Phone:651-292-2000
Practice Address - Fax:651-681-1140
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2021-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCMMD.32739.MD2085D0003X
NC2017-008282085R0202X
MN666082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging