Individual
DR. BRADLEY J. VOSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1517 ROCKFORD CT, KOKOMO, IN 46902-3207
(765) 252-3370
(765) 252-3380
Mailing address
1517 ROCKFORD CT, KOKOMO, IN 46902-3207
(765) 252-3370
(765) 252-3380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01045512A
IN
208100000X
Physical Medicine & Rehabilitation Physician
01045512A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044539
—
IN
Enumeration date
06/09/2005
Last updated
09/12/2022
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