Individual
DOMINIC DOTSE AMEGASHITSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4546 ARROWHEAD DR APT 74546, EAU CLAIRE, WI 54703-6217
(651) 285-3818
Mailing address
4546 ARROWHEAD DR APT 7, EAU CLAIRE, WI 54703-6218
(651) 285-3818
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
WI
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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