Provider Demographics
NPI:1811075369
Name:HOSKO, MICHAEL F (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:HOSKO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CENTRAL AVE E STE 70
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-9525
Mailing Address - Country:US
Mailing Address - Phone:763-497-2787
Mailing Address - Fax:
Practice Address - Street 1:400 CENTRAL AVE E STE 70
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-9525
Practice Address - Country:US
Practice Address - Phone:763-497-2787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN364727700Medicaid
MN364727700Medicaid
350001727Medicare ID - Type Unspecified