Individual
ANNA GREENSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44118-4819
(216) 320-6415
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44118-4819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT04987
—
OH
Enumeration date
05/10/2016
Last updated
05/10/2016
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