| Doctor Name: | JOANNA L ANSTED |
| NPI Number: | 1104824655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 50002250 |
| Business Practice Address: | 12780 Roachton Rd Suite 1 Perrysburg, OH - 435511350 |
| Business Phone Number: | 4198720777 |
| Business Fax Number: | 4198722369 |
| Mailing Address: | 12780 Roachton Rd, Suite 1 PERRYSBURG |
| State: | OH |
| Postal Code: | 435511350 |
| Phone Number: | 4198720777 |
| Fax Number: | 4198722369 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 10/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 50002250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |