Individual
ELIAS DAVID GRANADILLO DELUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3522
(608) 263-5442
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
66195
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477865574
—
WI
01
—
BP10037308
TEXAS MEDICAL BOARD
TX
Enumeration date
07/06/2010
Last updated
07/24/2025
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