Individual
MR. MICHAEL JAMES GRANZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
320 BEARD CREEK RD, EDWARDS, CO 81632-6426
(970) 569-7770
Mailing address
PO BOX 40,000, VAIL, CO 81658
(970) 569-7770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0011723
CO
Other
Enumeration date
09/02/2005
Last updated
12/06/2021
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