# ROBERT E GRADY JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568438604
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 4704 | SD | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 04/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0006991 | BCBS | SD |
| 05 | — | 0529438 | — | IA |
| 05 | — | 150724001 | — | AR |
| 05 | — | 1632879-01 | — | TX |
| 05 | — | 207219205 | — | MO |
| 05 | — | 5707250 | — | SD |
| 01 | — | 64G78GR | BCBS | MN |
| 05 | — | 756223300 | — | MN |