Individual
THOMAS H HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-8500
Mailing address
24701 EUCLID AVENUE, 3RD FLOOR, EUCLID, OH 44117
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
239402
NY
207RN0300X
Nephrology Physician
Primary
35-097996
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053895
—
OH
Enumeration date
09/20/2006
Last updated
05/29/2012
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