Individual
DOUGLAS J VIROSTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 BROWNS LN, COSHOCTON, OH 43812-2044
(740) 622-0332
(740) 622-0335
Mailing address
409 S 4TH ST, COSHOCTON, OH 43812-2024
(740) 622-0332
(740) 622-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35062459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0861447
—
OH
Enumeration date
06/14/2005
Last updated
08/08/2013
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