DR. Marie A Dominguez, M.D.

NPI #1952312886 in West Bend, Wisconsin

Provider Information

NPI Number: 1952312886
Entity Type: Individual
Name: DR. Marie A Dominguez, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Hospitalist
Credential: M.D.
Enumeration Date: Aug 9, 2006
Last Updated: Apr 2, 2020

Practice Location

Address: 1100 GATEWAY CT
City: West Bend
State: Wisconsin
ZIP Code: 53095-8539
Phone: (262) 335-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Hospitalist	208M00000X	Primary

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