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General NPI Number Information
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NPI Number | 1710022181
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Entity Type | Individual
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Provider Name | GOTTFRIED KARL SPRING M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 21625 CHAGRIN BLVD SUITE 200
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City | BEACHWOOD
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State | OH
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Zip | 44122-5363
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Country | US
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Telephone | 216-407-4407
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Fax | 216-321-3585
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Provider Business Mailing Address
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Address Line | 13700 LARCHMERE BLVD
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City | CLEVELAND
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State | OH
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Zip | 44120-1348
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Country | US
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Telephone | 216-321-1155
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Fax | 216-321-3585
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 029717
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License Number State | OH
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