Individual
DR. IAN MARTIN GRADISAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
Mailing address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.089900
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35089900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2965206
—
OH
Enumeration date
04/25/2007
Last updated
05/18/2011
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