Individual
JACK ANSTANDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34900 CHARDON ROAD, SUITE 201, WILLOUGHBY HILLS, OH 44094
(440) 269-1550
(440) 269-1750
Mailing address
34900 CHARDON ROAD, SUITE 201, WILLOUGHBY HILLS, OH 44094
(440) 269-1550
(440) 269-1750
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-052146
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819994
—
OH
Enumeration date
10/04/2006
Last updated
07/08/2007
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