Search › Colorado › 213E00000X
Brian Gradisek, D.P.M
NPI 1700178092 · on the registry since 2011
Practice
- Address
- 1400 28th St Ste 2
Boulder, CO 80303 - Phone
- (303) 449-2000
- Fax
- (303) 449-9475
- Organisation at this address
- Ted C. Kawulok, D.D.S.
Brian P Gradisek Dpm Pllc
Ted C. Kawulok D.D.S., P.C.
Foot & Ankle Care Of Boulder, Pc
Foot And Ankle Care Of Boulder CountyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Also registered as
- 213ES0103X
213ES0103X - Licence states on file
- IL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado