Provider Demographics
NPI:1659355188
Name:VOSLER, SCOTT R (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:R
Last Name:VOSLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:450 B WASHINGTON JACKSON RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320
Mailing Address - Country:US
Mailing Address - Phone:937-456-8340
Mailing Address - Fax:937-456-8341
Practice Address - Street 1:450 B WASHINGTON JACKSON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320
Practice Address - Country:US
Practice Address - Phone:937-456-8340
Practice Address - Fax:937-456-8341
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.003526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0517711Medicaid
OHD89771Medicare UPIN
OHD89771Medicare UPIN