Provider Demographics
NPI:1639255110
Name:HOSNER, JOSEPH WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:HOSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:333 TURWILL LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-5225
Mailing Address - Country:US
Mailing Address - Phone:269-373-3937
Mailing Address - Fax:269-373-8881
Practice Address - Street 1:333 TURWILL LN
Practice Address - Street 2:SUITE A
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-5225
Practice Address - Country:US
Practice Address - Phone:269-373-3937
Practice Address - Fax:269-373-8881
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2016-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI53115207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3481855Medicaid
MIOP 09600Medicare ID - Type Unspecified
MI3481855Medicaid