Individual
STEVEN L HOSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6119 W JEFFERSON BLVD, FORT WAYNE, IN 46804-3072
(260) 432-1568
(260) 432-4969
Mailing address
6119 W JEFFERSON BLVD, FORT WAYNE, IN 46804-3072
(260) 432-1568
(260) 432-4969
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01034289A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012713
ENCORE
—
01
—
000000084887
BCBS
IN
01
—
006895400
BLACK LUNG
IN
05
—
0680473
—
OH
05
—
100328210
—
IN
01
—
1414
PHP
—
01
—
300010252
TRAVELERS
—
Enumeration date
12/06/2005
Last updated
01/21/2009
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