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Individual

DR. MARIUS DORIN GRADIANU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036154553
IL
207W00000X
Ophthalmology Physician
5101020454
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036.154553
ILLINOIS STATE LICENSE
IL
05
1144665878
MI
Enumeration date
05/08/2013
Last updated
05/18/2023
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