Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2001 | OH |
Y | 222Z00000X | Podiatrist | 2001 | OH |
NPI | 1043312531 |
---|---|
Provider Name | Dr. Dennis James Springer |
First Address | North Canton, OH 44720-4271 |
Second Address | North Canton, OH 44720-4271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2006 |
Last Update Date | 06/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0471109 | (05) | OH |
4389870001 | ADMINISTAR DMERC B (01) | OH |
T80507 | (02) | OH |