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Search › Wisconsin › 208M00000X

Marie Dominguez, M.D

NPI 1952312886 · on the registry since 2006 · sole proprietor

Practice

Address
1100 Gateway Ct
West Bend, WI 53095
Phone
(262) 335-8600
Organisation at this address
Aurora Advanced Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-02

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