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Individual

DR. CARL FRANKLIN ANSEVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7417 SOUTH AVE, YOUNGSTOWN, OH 44512-5789
(330) 726-7900
(330) 726-7901
Mailing address
5701 MARKET ST, BOARDMAN, OH 44512-2603
(330) 726-7900
(330) 726-7901

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35038334A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000132550
ANTHEM
OH
05
0304718
OH
01
34148225100
BWC WORK COMP
OH
Enumeration date
12/01/2005
Last updated
08/12/2015
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