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Individual

DR. MICHAEL B HOSTETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11900 N PENNSYLVANIA STREET, CARMEL, IN 46032-4694
(317) 846-0717
(317) 846-0557
Mailing address
PO BOX 2303 DEPT 163, INDIANAPOLIS, IN 46206-2303
(952) 542-8553
(952) 513-6880

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01060607
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01060607
IN
2085R0204X
Vascular & Interventional Radiology Physician
01060607
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200528980
IN
Enumeration date
06/14/2006
Last updated
02/20/2012
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