Individual
DOMINIC CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11031 W FAIRLANE AVE, MILWAUKEE, WI 53224-2585
(414) 418-4338
Mailing address
11031 W FAIRLANE AVE, MILWAUKEE, WI 53224-2585
(414) 418-4338
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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