Individual
SAMUEL ROBERT VINCENT GRANATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(224) 234-7956
Mailing address
1237 N VAN BUREN ST UNIT 712, MILWAUKEE, WI 53202-5346
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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