| Jack Anstandig, M.d., Inc. | |
|
34900 Chardon Rd Suite #201 Willoughby OH 44094-9161 | |
| (440) 269-1550 | |
| (440) 269-1750 |
| Full Name | Jack Anstandig, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 34900 Chardon Rd, Willoughby, Ohio |
| Authorized Official Name and Position | Jack Anstandig (PRESIDENT) |
| Authorized Official Contact | 4402691550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Anstandig, M.d., Inc. 34900 Chardon Rd Suite #201 Willoughby OH 44094-9161 Ph: (440) 269-1550 | Jack Anstandig, M.d., Inc. 34900 Chardon Rd Suite #201 Willoughby OH 44094-9161 Ph: (440) 269-1550 |
| NPI Number | 1457474330 |
|---|---|
| Provider Enumeration Date | 04/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457474330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35-05-2146 (Ohio) | Primary |
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