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Individual

DR. BRIAN P GRADISEK

Active
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Individual

DR. BRIAN P GRADISEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005597
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
0000766
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
016005597
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005597
—
IL
Enumeration date
05/05/2011
Last updated
07/27/2016
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