| NPI | 1487216255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN T GRANEY Owner / Provider 608-241-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-09 |