Individual
DR. JAMIE B HOSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
(414) 747-8848
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
62032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243484
—
WI
05
—
102836260
—
PA
Enumeration date
06/30/2008
Last updated
09/07/2023
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