DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE HOLDER

Active Sole Proprietor

DOMINIQUE HOLDER is a Driver healthcare provider located in FOND DU LAC, Wisconsin. NPI 1215886163 is currently active in the NPPES registry. Verify at CMS.

Driver · FOND DU LAC, WI

Registration Details

NPI Number
1215886163
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2026 (0.5714162827825 yrs)
Last Updated
Jan 23, 2026
Sole Proprietor
Yes

Practice Information

Address
74 HARVEST DR APT 7207
FOND DU LAC, WI, 549372325
Browse WI providers · Browse ZIP 54937
Phone
4142045372
Primary Specialty
Driver
172A00000X

Other Driver Providers in FOND DU LAC, WI

Name Credential NPI
KRISTEN DREWRY 1962614438
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.