Individual
MARK P ANSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E APPLE ST STE 4256, DAYTON, OH 45409-2939
(937) 208-6060
(937) 208-6061
Mailing address
P.O. BOX 407, DAYTON, OH 45409
(937) 208-6060
(937) 208-6061
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-056443 A
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301512884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689992
—
OH
Enumeration date
07/21/2005
Last updated
07/14/2025
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