Search › Wisconsin › 207RH0003X
Lewis Domke, M.D
NPI 1407865967 · on the registry since 2006
Practice
- Address
- 201 N Mayfair Rd
Wauwatosa, WI 53226 - Phone
- (414) 256-1940
- Fax
- (414) 256-1941
- Organisation at this address
- Dermavation, S.C.
Heritage Clinic S.C.
Karen S. Watson Md Sc
Brian J. Blocher Dds Sc
Ihc-Wheaton Anesthesia LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 73
Registry record
- Primary taxonomy
- 207RH0003X
207RH0003X
- Also registered as
- 207RG0300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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