MR. Dominic Patrick Porubsky

NPI #1558093997 in West Allis, Wisconsin

Provider Information

NPI Number: 1558093997
Entity Type: Individual
Name: MR. Dominic Patrick Porubsky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 24, 2022
Last Updated: Jun 29, 2022

Practice Location

Address: 2448 S 102ND ST STE 200
City: West Allis
State: Wisconsin
ZIP Code: 53227-2141
Phone: (414) 327-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - School — School	1041S0200X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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