Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35-090283 | OH |
N | 208000000X | Pediatrician | 35-090283 | OH |
N | 208000000X | Pediatrician | 35090283 | OH |
N | 208000000X | Pediatrician | MT182446 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 35-090283 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 35-090283 | OH |
NPI | 1154450328 |
---|---|
Provider Name | Dr. David G Speicher |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 11/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1025838800001 | (05) | PA |
2943738 | (05) | OH |
Q90283 | (05) | SC |