Individual
DR. JOHN EDWARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2222 CHERRY ST STE 2000, TOLEDO, OH 43608-2673
(419) 251-2061
Mailing address
2222 CHERRY ST STE 2000, TOLEDO, OH 43608-2673
(419) 251-2061
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
34.016830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031377
—
OH
Enumeration date
05/22/2019
Last updated
06/07/2024
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