Elias David Granadillo Deluque is a Milwaukee, Wisconsin based neurologist with 20 years of experience in Neurology. He completed his graduation in 2004. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Elias David Granadillo Deluque is 66195 for Neurology in Wisconsin. His current practice location is 9200 W Wisconsin Ave, Department Of Neurology, Milwaukee. Patients can reach him at 414-805-5200 or can fax him at 414-259-0469. Elias David Granadillo Deluque is M.D in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1477865574. Elias David Granadillo Deluque specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Elias David Granadillo Deluque speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Elias David Granadillo Deluque
Specialization:
Neurology
Gender:
Male
Credentials:
M.D
Experience:
20+ years
Medical School Attended:
Other
Graduation Year:
2004
Accepts Medicare Assignment:
Yes
Practice Address:
9200 W Wisconsin Ave, Department Of Neurology, Milwaukee, Wisconsin, 53226-3522
Phone:
414-805-5200
Fax:
414-259-0469
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4082833041
Enrollment ID:
I20161013002109
NPI Number:
1477865574
NPI Enumeration Date:
06 Jul, 2010
NPI Last Update On:
08 Nov, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elias David Granadillo Deluque are as mentioned below.
License Number
Specialization
State
Status
66195
Neurology
Wisconsin
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520177)
Milwaukee, WI
Acute Care Hospital
(520103)
Menomonee falls, WI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Elias David Granadillo Deluque is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The Medical College Of Wisconsin Inc (2668384371)
1714
Other Medical Identifiers:
Other legacy medical identifiers associated with Elias David Granadillo Deluque such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1477865574
Medicaid
Wisconsin
BP10037308
Other
Texas
TEXAS MEDICAL BOARD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Elias David Granadillo Deluque 9200 W Wisconsin Ave, Department Of Neurology Milwaukee, Wisconsin
Zip:
53226-3522
Phone Number:
414-805-5200
Fax Number:
414-259-0469
Patients can reach Elias David Granadillo Deluque at 9200 W Wisconsin Ave, Department Of Neurology, Milwaukee, Wisconsin or can call to book an appointment on 414-805-5200.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.