STEPHANIE JEAN DOMINGUEZ PA-C NPI 1750683371

NPI Information

Stephanie Jean Dominguez, PA-C is a medical physician assistant in Milwaukee, WI with 14 years of experience. Stephanie Jean Dominguez, PA-C NPI is 1750683371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215-732
Phone: (414) 672-1353
Fax: (414) 672-4265

The NPI 1750683371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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