Individual
GARY A GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 WARRRENSVILLE CNTR ROAD, #200, WARRENSVILLE HTS, OH 44122
(216) 752-7676
(216) 295-8041
Mailing address
PO BOX 660, MENTOR, OH 44061-0660
(440) 854-0217
(440) 516-3783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054667
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668728
—
OH
01
—
110019261
RAILROAD
—
05
—
3059603
—
OH
Enumeration date
06/20/2006
Last updated
06/13/2024
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