Individual
VERN HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
230 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-2502
(616) 458-8080
Mailing address
230 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503-2502
(616) 458-8080
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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