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Contact Information

IAN M GRADISAR, MD
3975 EMBASSY PKWY
AKRON, OH44333-8320
 Phone: 330-668-4040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for IAN M GRADISAR · (Male)

NPI Number 1053530311
Status Active
Credentials MD
Entity Individual
Enumeration date 04/25/2007
Last updated 05/18/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35.089900
  • OH License # 35089900
  • OH Medicaid 2965206
Hospital affiliation(s)
  • AKRON GENERAL MEDICAL CENTER - (Acute Care)
    400 WABASH AVENUE
    AKRON, OH 44307
  • CRYSTAL CLINIC ORTHOPAEDIC CENTER - (Acute Care)
    444 NORTH MAIN STREET
    AKRON, OH 44310
  • WOOSTER COMMUNITY HOSPITAL - (Acute Care)
    1761 BEALL AVENUE
    WOOSTER, OH 44691
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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