Charles Everett Grado in Cedar Rapids - Plastic And Reconstructive Surgery

Charles Everett Grado - NPI 1710988217

Charles Everett Grado is a Plastic And Reconstructive Surgery in Cedar Rapids, Iowa. Charles Everett Grado practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Charles Everett Grado is 1710988217. The last update date is 2015-12-01.

Charles Everett Grado's current location address is 3705 River Ridge Dr Ne, Cedar Rapids, Iowa. You can contact this provider via phone number 3193931902 and fax number 3193931867. The mailing address for Charles Everett Grado is 3705 River Ridge Dr Ne, Cedar Rapids, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Everett Grado
Address 3705 River Ridge Dr Ne, Cedar Rapids, Iowa
Phone Number 3193931902
Fax Number 3193931867
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1710988217
Provider Enumeration Date 2005-08-09
Last Updated Date 2015-12-01

Provider Mailing Address Detail

Address 3705 River Ridge Dr Ne
City Cedar Rapids
State Iowa (IA)
Post Code 524027596
Phone Number 3193931902
Fax Number 3193931867

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No 24782
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
229138 IA --

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FAQs about Charles Everett Grado

What is the unique 10-digit identifier code issued to Charles Everett Grado by the Centers for Medicare & Medicaid Services?

The Charles Everett Grado has been assigned the NPI (National Provider Identifier) 1710988217 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Charles Everett Grado?

The Charles Everett Grado is situated at 3705 River Ridge Dr Ne, in the city of Cedar Rapids, state of IA, with the zip code 524027596.

What is Charles Everett Grado's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles Everett Grado's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.

When did the Charles Everett Grado receive its 1710988217?

The Charles Everett Grado was issued its 1710988217 on 2005-08-09, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Charles Everett Grado most recently updated or revised?

The information pertaining to Charles Everett Grado, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-01.

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