Jarrod Dominiak, ATC

NPI 1083003842 · on the registry since 2015

Practice

Address: 10101 S 27th St
2nd Floor
Franklin, WI 53132
Phone: (414) 520-3886
Organisation at this address: Dan D Kanitz Mdsc
Ems Observation, S.C.
Ihc-Wheaton Anesthesia Llc
Ascension Wisconsin Pharmacy, Inc.
Sports Medicine & Orthpedic Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 59

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin