Individual
SHAWN STEVEN OSTERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
(937) 399-7355
Mailing address
1108 VESTER AVE., SPRINGFIELD, OH 45503-1302
(937) 399-7100
(937) 399-7355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
350762270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2470062
—
OH
Enumeration date
09/07/2006
Last updated
02/13/2020
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