MR. Samuel John Riddle

NPI #1578841722 in Monona, Wisconsin

Provider Information

NPI Number: 1578841722
Entity Type: Individual
Name: MR. Samuel John Riddle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 21, 2011
Last Updated: Jul 21, 2011

Practice Location

Address: 628 FEMRITE DR
City: Monona
State: Wisconsin
ZIP Code: 53716-3722
Phone: (608) 345-3547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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