Individual
MR. GRAHAM BACIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8823
Mailing address
30 QUARTZ AVE, PENINSULA, OH 44264-9593
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.13061-NA
OH
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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