Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL JOHN RIDDLE
ActiveMR. SAMUEL JOHN RIDDLE is a Specialist healthcare provider located in MONONA, Wisconsin. NPI 1578841722 is currently active in the NPPES registry. Verify at CMS.
Specialist · MONONA, WI
Registration Details
- NPI Number
- 1578841722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2011 (15.102753618335 yrs)
- Last Updated
- Jul 21, 2011
Practice Information
- Address
-
628 FEMRITE DRMONONA, WI, 537163722Browse WI providers · Browse ZIP 53716
- Phone
- 6083453547
- Primary Specialty
-
Specialist
174400000X
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.