Individual
DR. MARC GREGORY GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
68555
MN
207L00000X
Anesthesiology Physician
Primary
83261
WI
207R00000X
Internal Medicine Physician
2014-01594
NC
207R00000X
Internal Medicine Physician
83261
WI
208M00000X
Hospitalist Physician
2014-01594
NC
Other
Enumeration date
01/28/2011
Last updated
12/03/2025
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