Basic Information
| Provider Information | |||||||||
| NPI: | 1689789869 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VOSLER | ||||||||
| FirstName: | MARK | ||||||||
| MiddleName: | STEVEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 450-B WASHINGTON JACKSON RD | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | EATON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453207601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374568330 | ||||||||
| FaxNumber: | 9374568335 | ||||||||
| Practice Location | |||||||||
| Address1: | 450-B WASHINGTON JACKSON RD | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | EATON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453207601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374568330 | ||||||||
| FaxNumber: | 9374568335 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2006 | ||||||||
| LastUpdateDate: | 05/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 05/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 34002967 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | DO0000000449 | TN | N | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0427881 | 05 | OH | MEDICAID | 000000177148 | 01 | BCBS | OTHER | 791126460 | 01 | RAILROAD PALMETO GBA | OTHER |