Individual
JOSEPH A KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 W WOODWAY DR, MUNCIE, IN 47304-4264
(765) 289-5006
(765) 213-4953
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000511656
BCBS
IN
05
—
200318400A
—
IN
Enumeration date
01/16/2007
Last updated
01/21/2021
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