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NPI Code Detail

MEDICARE: DAWN R HOSTETLER MD

MEDICARE: DAWN R HOSTETLER MD
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
1207Q00000XFamily Medicine Physician01051243AIN
2207Q00000XFamily Medicine Physician01051243IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902846793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN R HOSTETLER MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1375 N GREEN ST
Second Line : STE 100
City : BROWNSBURG
State : IN
Zip : 46112-8734
Country : US
Telephone Number : 317-852-2251
Fax Number : 317-852-1225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 06/02/2026

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Directions to “ DAWN R HOSTETLER MD” Practice Location

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