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NPI Code Detail

MEDICARE: DR. JAMES MICHAEL HOZALSKI JR. DO

MEDICARE: DR. JAMES MICHAEL HOZALSKI JR. DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician34.015258OH

General Provider Information

NPI Number : 1245797539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES MICHAEL HOZALSKI JR. DO
Provider Business Mailing Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-436-4658
Fax Number :
Provider Business Practice Location Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-723-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2019
Last Update Date : 05/20/2026

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