Individual
DR. BRIAN D SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, LAKESIDE BUILDING ROOM 3018, CLEVELAND, OH 44106-1716
(216) 844-2562
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.094966
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-094966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063579
—
OH
Enumeration date
05/20/2007
Last updated
09/25/2023
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