Healthcare Provider Details

I. General information

NPI: 1013233600
Provider Name (Legal Business Name): FLORIAN RIEDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # A30 DIGESTIVE DISEASE INSTITUTE,CLEVELAND CLINIC FOUNDATION
CLEVELAND OH
44195-0002
US

IV. Provider business mailing address

9500 EUCLID AVE # A30 DIGESTIVE DISEASE INSTITUTE,CLEVELAND CLINIC FOUNDATION
CLEVELAND OH
44195-0002
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-4916
  • Fax: 216-636-0104
Mailing address:
  • Phone: 216-445-4916
  • Fax: 216-636-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number1013233600
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License Number1013233600
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: