Individual
ANTHONY J DERISO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 PROSPECT ST STE 101, SANDUSKY, OH 44870-3366
(419) 609-8000
(419) 609-8002
Mailing address
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2776
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35064444
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0883469
—
OH
Enumeration date
04/28/2006
Last updated
01/21/2026
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