MEDICARE: MARK S VOSLER

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
1	207Q00000X	Family Medicine Physician	34002967	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	9370331	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	066635	OTHER	OH	AETNA
2	301529179	OTHER	OH	MEDICAL MUTUAL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000177148	OTHER	OH	ANTHEM BLUE CROSS BLUE SH
5	QMP000003334203	OTHER	OH	MOLINA
6	02120397	OTHER	OH	UNITED HEALTHCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	791126460	OTHER	OH	RAILROAD PALMETTO GBA

General Provider Information

NPI Number	:	1417150400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK S VOSLER

Provider Business Mailing Address
First Line	:	345 KAYLER RD
Second Line	:
City	:	EATON
State	:	OH
Zip	:	45320-9267
Country	:	US
Telephone Number	:	937-456-6773
Fax Number	:	937-456-8335

Provider Business Practice Location Address
First Line	:	450B WASHINGTON JACKSON RD
Second Line	:	STE 108
City	:	EATON
State	:	OH
Zip	:	45320-7601
Country	:	US
Telephone Number	:	937-456-8332
Fax Number	:	937-456-8335

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	DR. MARK STEVEN VOSLER
Credential	:	D.O.
Telephone Number	:	937-456-8334

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	03/16/2020

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Directions to “MARK S VOSLER ” Practice Location

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