Individual provider · Type 1 NPI
Samuel John Riddle
Specialist · Monona, WI
NPI number
1578841722
Active
Practice location
628 Femrite Dr
Monona, WI 53716-3722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1578841722
Samuel John Riddle's National Provider Identifier is 1578841722, issued on Jul 21, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Monona, WI. The record was last updated on Jul 21, 2011.