Bliss Grady, PA-C

NPI #1295514503 in Portage, Wisconsin

Provider Information

NPI Number: 1295514503
Entity Type: Individual
Name: Bliss Grady, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 26, 2023
Last Updated: Feb 13, 2025

Practice Location

Address: 2817 NEW PINERY RD
City: Portage
State: Wisconsin
ZIP Code: 53901-9240
Phone: (608) 742-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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