Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary V Siuta

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1275400996

Gary V Siuta is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Watertown, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

1315 Richards Ave
Watertown, WI 53094-5126
Phone: (920) 262-8838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 10554-40 (WI)

Record details

NPI number1275400996
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2025
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address1315 Richards Ave, Watertown, WI 53094-5126