Individual
DR. CARL ANSEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 TIMBERIDGE TRL, GATES MILLS, OH 44040-9319
(216) 554-5289
Mailing address
390 TIMBERIDGE TRL, GATES MILLS, OH 44040-9319
(216) 554-5289
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
74962
GA
2084N0400X
Neurology Physician
Primary
90097
OH
2084N0400X
Neurology Physician
TM2015-0763
NM
Other
Enumeration date
09/16/2006
Last updated
02/20/2024
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