Individual
HARRY B. HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 COLDWATER CREEK DR, WAUKESHA, WI 53188-8028
(262) 521-8800
(262) 521-8870
Mailing address
PO BOX 474, HARTLAND, WI 53029-0474
(262) 875-5070
(866) 384-9486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47738
WI
208M00000X
Hospitalist Physician
Primary
47738
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34855200
—
WI
Enumeration date
03/24/2006
Last updated
02/28/2022
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