Individual
SAMUEL GARRITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10931 W MEQUANIGO DR, WEST ALLIS, WI 53227-3046
(812) 480-9723
Mailing address
10931 W MEQUANIGO DR, WEST ALLIS, WI 53227-3046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1120120-30
WI
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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