Organization
JILL B VOSLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA L TYLER (OFFICE MANAGER)
(937) 456-8350
Entity
Organization
Contact information
Practice address
450B WASHINGTON JACKSON RD, SUITE 105, EATON, OH 45320-7600
(937) 456-8350
(937) 456-8351
Mailing address
450B WASHINGTON JACKSON RD, SUITE 105, EATON, OH 45320-7600
(937) 456-8350
(937) 456-8351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004807
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000177350
ANTHEM
OH
05
—
0748472
—
OH
01
—
2220960
AETNA
OH
01
—
289663054004
MEDICAL MUTUAL
OH
05
—
3043398
—
OH
Enumeration date
12/11/2007
Last updated
12/23/2011
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