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Individual
MARK P ANSTADT
Active
Individual
MARK P ANSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35-056443 A
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301512884
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C6154
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689992
—
OH
Enumeration date
07/21/2005
Last updated
09/23/2026
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