Individual
JARROD DOMINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10101 S 27TH ST, 2ND FLOOR, FRANKLIN, WI 53132-7209
(414) 520-3886
Mailing address
10101 S 27TH ST, 2ND FLOOR, FRANKLIN, WI 53132-7209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1343-39
WI
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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