Dominique N Villalba, PA-C

NPI #1265143275 in Wausau, Wisconsin

Provider Information

NPI Number: 1265143275
Entity Type: Individual
Name: Dominique N Villalba, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 9, 2022
Last Updated: Jan 28, 2025

Practice Location

Address: 2727 PLAZA DR
City: Wausau
State: Wisconsin
ZIP Code: 54401-4192
Phone: (715) 847-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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