Individual
JEFFREY DAVID MOSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052
(765) 485-8000
(765) 485-8239
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01075711A
IN
208M00000X
Hospitalist Physician
Primary
01075711A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201173360
—
IN
Enumeration date
03/19/2013
Last updated
04/15/2021
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