NPI 1528152287
Scott Lee Gradberg, CRNA
Practice location
- Address
- 135 South Gibson St, Medford, WI 54451-1622
- Phone
- (715) 748-8100
- Fax
- (715) 748-8199
- Mailing address
- 135 S Gibson St, Medford, WI 54451-1622
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1528152287
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Oct 2006
- Record last updated
- 10 Jul 2007
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.