Individual
LEWIS R DOMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 256-1940
(414) 256-1941
Mailing address
201 N MAYFAIR RD, WAUWATOSA, WI 53226-4216
(414) 256-1940
(414) 256-1941
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
46542
WI
207RH0003X
Hematology & Oncology Physician
Primary
46542
WI
Other
Enumeration date
08/05/2006
Last updated
03/07/2023
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