Dr. James Michael Grannell, D.O.
Orthopaedic Surgery in Mauston, WI. Individual provider (NPI-1).
NPI number1083662019
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1083662019
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Michael Grannell
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 71317-21 | WI | Yes |
| 207X00000X | Orthopaedic Surgery | 5101007545 | MI |
Practice location
1040 Division StMauston, WI 53948-1931
Phone 608-847-5000
Mailing address
1040 Division StMauston, WI 53948-1931
Phone 608-847-5000
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