Organization
MADISON ADVANCED FOOT & ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN T GRANEY DPM (OWNER / PROVIDER)
(608) 241-0848
Entity
Organization
Contact information
Practice address
664 W WASHINGTON AVE, MADISON, WI 53703-2638
(608) 241-0848
Mailing address
664 W WASHINGTON AVE, MADISON, WI 53703-2638
(608) 241-0848
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/09/2019
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