Individual
DANIEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3690 ORANGE PL, BEACHWOOD, OH 44122-4464
(216) 464-5330
(216) 464-5332
Mailing address
3690 ORANGE PL, BEACHWOOD, OH 44122-4464
(216) 464-5330
(216) 464-5332
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.136399
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
08/18/2021
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