Provider Demographics
NPI:1689789869
Name:VOSLER, MARK STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEVEN
Last Name:VOSLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:450-B WASHINGTON JACKSON RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-7601
Mailing Address - Country:US
Mailing Address - Phone:937-456-8330
Mailing Address - Fax:937-456-8335
Practice Address - Street 1:450-B WASHINGTON JACKSON RD
Practice Address - Street 2:SUITE 108
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-7601
Practice Address - Country:US
Practice Address - Phone:937-456-8330
Practice Address - Fax:937-456-8335
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34002967207Q00000X
TNDO0000000449207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0427881Medicaid
000000177148OtherBCBS
791126460OtherRAILROAD PALMETO GBA
791126460OtherRAILROAD PALMETO GBA
VO0477781Medicare ID - Type Unspecified