Healthcare Provider Details

I. General information

NPI: 1003877499
Provider Name (Legal Business Name): WILLIAM H OSTERBUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5735 MEEKER RD
GREENVILLE OH
45331
US

IV. Provider business mailing address

5735 MEEKER RD
GREENVILLE OH
45331
US

V. Phone/Fax

Practice location:
  • Phone: 937-548-3806
  • Fax: 937-548-3552
Mailing address:
  • Phone: 937-548-3806
  • Fax: 937-548-3552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number350475900
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: