Individual
DAVID LARUE ANSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
30575 BAINBRIDGE RD STE 300, SOLON, OH 44139-2275
(440) 368-6868
(440) 368-6866
Mailing address
1526 COLE BLVD STE 300, LAKEWOOD, CO 80401-3410
(303) 379-9371
(303) 423-7004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.040465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0538430
—
OH
Enumeration date
03/06/2006
Last updated
07/22/2019
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