Whalio Doctors

NPI 1285722264

Plastic Surgical Center

Organisation Plastic Surgery Physician Cedar Rapids, IA

Practice location

Address
3705 River Ridge Dr NE, Cedar Rapids, IA 52402-7596
Phone
(319) 393-1902
Fax
(319) 393-1867

Authorised official

Name
Charles E Grado
Title
Owner/Physician
Phone
(319) 393-1902

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 24782 (IA)

Registry record

NPI
1285722264
Entity type
Organization
NPI issued
11 Oct 2006
Record last updated
18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.