Individual
DR. BRIAN PAUL RADESIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-3000
Mailing address
7757 AUBURN RD STE 15, PAINESVILLE, OH 44077-9604
(440) 350-0832
(440) 579-0191
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
APRN.CRNA.00960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604506
—
OH
Enumeration date
09/30/2006
Last updated
04/02/2020
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