Sandra Lea Carroll D.V.M.

NPI 1124313119 - Veterinarian - 174M00000X

NPI Details
NPI 1124313119
Gender Female
Enumeration Date 06/17/2011
Last Updated 06/17/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1736 S 82ND ST
WEST ALLIS WI, 53214-4425, US
Phone (414) 476-3544
Fax (414) 476-3529
Business Location
1736 S 82ND ST
WEST ALLIS WI, 53214-4425, US
Phone (414) 476-3544
Fax (414) 476-3529
Toxanomy
Taxonomy Code 174M00000X
License State Wisconsin
License Number 5462-050
Remove 1124313119 NPI Number
 

According to our database, Dr. Sandra Lea Carroll D.V.M. NPI is 1124313119, taxonomy code is 174M00000X and license number is 5462-050, license state is located at Wisconsin. Sandra Lea Carroll D.V.M. physically located at 1736 S 82nd St, West Allis WI, 53214-4425. NPI Number Sandra Lea Carroll D.V.M. has the Individual type.

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1124313119 NPI number is provided on an as is basis without warranty of any kind. 1124313119 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Lea Carroll D.V.M. are for informational purposes only.