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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY V SIUTA

Active Sole Proprietor

GARY V SIUTA is a Pharmacist Clinician (PhC) healthcare provider located in WATERTOWN, Wisconsin. NPI 1275400996 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · WATERTOWN, WI

Registration Details

NPI Number
1275400996
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2025 (0.85758121849084 yrs)
Last Updated
Oct 17, 2025
License
10554-40 (WI)
Sole Proprietor
Yes

Practice Information

Address
1315 RICHARDS AVE
WATERTOWN, WI, 530945126
Browse WI providers · Browse ZIP 53094
Phone
9202628838
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in WATERTOWN, WI

Name Credential NPI
DR. ADDIE MARIE LITTRELL PHARMD 1861025371
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.