Individual
SAMANTHA TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N 92ND ST, MILWAUKEE, WI 53226-1202
(414) 805-3000
Mailing address
2140 DAVIDSON RD, WAUKESHA, WI 53186-4008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
07/31/2026
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