Gradberg, Scott Lee

Gradberg, Scott Lee is an individual health care provider with primary practice located at 135 South Gibson St , Medford WI 54451-1622. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gradberg, Scott Lee can be contacted via phone (715) 748-8100.

Contact Information

Primary practice address
135 South Gibson St Medford WI 54451-1622
Phone: (715) 748-8100
Fax: (715) 748-8199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 047894 Wisconsin

Profile Details

NPI number 1528152287
LBN Legal business name Gradberg, Scott Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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