Individual
STEVAN J ANSELMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
103 WEST AVE, WELLSBORO, PA 16901-1358
(570) 724-5297
(570) 724-8793
Mailing address
103 WEST AVE, WELLSBORO, PA 16901-1358
(570) 724-5297
(570) 724-8793
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001853L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
442480314
TRAVELERS MEDICARE
PA
Enumeration date
09/23/2005
Last updated
10/12/2007
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