NPI 1124313119

Sandra Lea Carroll, DVM

Practitioner Veterinarian West Allis, WI

Practice location

Address: 1736 S 82nd St, West Allis, WI 53214-4425
Phone: (414) 476-3544
Fax: (414) 476-3529

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 5462-050 (WI)

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Registry record

NPI: 1124313119
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2011
Record last updated: 17 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.