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NPI 1356908552 · live from the CMS NPI Registry

John Edward Anderson, DO

Pediatrics, Sports Medicine in Toledo, OH. National Provider Identifier 1356908552, active.

NPI record

NPI1356908552 Type 1 · individual
StatusActive
Primary specialtyPediatrics, Sports Medicine 2080S0010X
Practice location2222 Cherry St Ste 2000, Toledo, OH 43608
Practice phone419-251-2061
EnumeratedMay 22, 2019
Last updatedJune 7, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics, Sports Medicine primary2080S0010X34.016830 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.