Individual
DANIEL GRADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 TRIANGLE CTR, SUITE 400, LONGVIEW, WA 98632-4667
(360) 423-0220
(360) 423-0697
Mailing address
600 TRIANGLE CTR, SUITE 400, LONGVIEW, WA 98632-4667
(360) 423-0220
(360) 423-0697
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
32843-020
WI
207W00000X
Ophthalmology Physician
MD150509
OR
207W00000X
Ophthalmology Physician
Primary
MD60151712
WA
Other
Enumeration date
04/14/2010
Last updated
07/12/2019
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