Individual
DR. CHARLES EVERETT GRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3705 RIVER RIDGE DR NE, CEDAR RAPIDS, IA 52402-7596
(319) 393-1902
(319) 393-1867
Mailing address
3705 RIVER RIDGE DR NE, CEDAR RAPIDS, IA 52402-7596
(319) 393-1902
(319) 393-1867
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
24782
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229138
—
IA
Enumeration date
08/09/2005
Last updated
12/01/2015
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