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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT LEE GRADBERG, CRNA

Active

SCOTT LEE GRADBERG, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MEDFORD, Wisconsin. NPI 1528152287 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · MEDFORD, WI

Registration Details

NPI Number
1528152287
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.857410150476 yrs)
Last Updated
Jul 10, 2007
License
047894 (WI)

Practice Information

Address
135 SOUTH GIBSON ST
MEDFORD, WI, 544511622
Browse WI providers · Browse ZIP 54451
Phone
7157488100
Fax
7157488199
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in MEDFORD, WI

Name Credential NPI
MR. STUART GALL MS, CRNA 1437184827
MR. RYAN ROBERT DIEGEL CRNA 1407093073
ANGELA MARIE GUDEN CRNA 1013267921
CARL HENRY ZONDLO 1215549852
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.