Individual
DR. JAMES MICHAEL GRANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
Mailing address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101007545
MI
207X00000X
Orthopaedic Surgery Physician
Primary
71317-21
WI
Other
Enumeration date
05/04/2006
Last updated
06/05/2020
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