Provider Demographics
NPI:1184768400
Name:HOSHAL, VERNE L JR (MD)
Entity type:Individual
Prefix:DR
First Name:VERNE
Middle Name:L
Last Name:HOSHAL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE LOBBY J
Mailing Address - Street 2:IHA
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:ACADEMIC SURGERY, REICHERT HEALTH CENTER STE #2115
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1014
Practice Address - Country:US
Practice Address - Phone:734-712-3971
Practice Address - Fax:734-712-2809
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2016-02-16
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Provider Licenses
StateLicense IDTaxonomies
MI4301026433208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1381663Medicaid
MI0H16022016Medicare ID - Type Unspecified
MIE26846Medicare UPIN
MI0M88760006Medicare ID - Type Unspecified
MI1147876Medicaid