person
Stephanie Jean Dominguez, PA-C
Medical Physician Assistant in Milwaukee, Wisconsin
NPI 1750683371

Stephanie Jean Dominguez is a Medical Physician Assistant based in Milwaukee, WI and is specialized in Medical. Stephanie Jean Dominguez practices in Milwaukee, WI and has the professional credentials of PA-C. The NPI Number for Stephanie Jean Dominguez is 1750683371 and holds a License No. 2696-23 (Wisconsin).

The current practice location address for Stephanie Jean Dominguez is 2906 S 20Th St, Milwaukee, WI and can be reached out via phone at 414-672-1353 and via fax at 414-672-4265.

Location: 2906 S 20Th St, Milwaukee, WI, 53215-3732
person
Provider Profile Details
NPI Number
1750683371
Provider Name
Stephanie Jean Dominguez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2906 S 20Th St, Milwaukee, WI, 53215-3732
Phone Number
414-672-1353
Fax Number
414-672-4265
Provider Enumeration Date
12/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2906 S 20Th St
City
State
Zip
53215-3732
Phone Number
414-672-1353
Fax Number
414-672-4265
person
Provider Business Mailing Address Details
Address
2906 S 20Th St
City
State
Zip
53215-3732
Phone Number
414-672-1353
Fax Number
414-672-4265
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2696-23 (Wisconsin)
Definition
Definition to come...
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