Individual
MARK E HOSTETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1207 W STATE ST, SUITE N, ALLIANCE, OH 44601-4686
(330) 821-3244
(330) 868-5782
Mailing address
1207 W STATE ST, SUITE N, ALLIANCE, OH 44601-4686
(330) 821-3244
(330) 868-5782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-05-2184-H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000269631
ANTHEM
OH
05
—
0690739
—
OH
01
—
110035014
MEDICARE RAILROADERS
OH
Enumeration date
07/18/2005
Last updated
03/30/2017
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