Individual
MRS. ILDIKO MAGDA DOMANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
114484
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
6914-33
WI
Other
Enumeration date
09/25/2012
Last updated
05/17/2016
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