Individual
DR. GRANT MACAULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4104
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4104
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
206897
NY
207R00000X
Internal Medicine Physician
Primary
74413-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053360719
—
WI
Enumeration date
05/09/2006
Last updated
03/02/2023
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