Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE WALLACE
Active Sole ProprietorDOMINIQUE WALLACE is a Bus healthcare provider located in MILWAUKEE, Wisconsin. NPI 1265324511 is currently active in the NPPES registry. Verify at CMS.
Bus · MILWAUKEE, WI
Registration Details
- NPI Number
- 1265324511
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2025 (1.0693679233854 yrs)
- Last Updated
- Jul 18, 2025
- License
-
W4201789495600 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3739 N 38TH STMILWAUKEE, WI, 532163011Browse WI providers · Browse ZIP 53216
- Phone
- 2626723139
- Fax
- 2626723139
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| MR. JAMAR LAMPLEY SR. | — | 1386826238 |
| MR. MICHAEL RUSSELL | — | 1245414093 |
| MR. RICHARD GIFT NWABUZOR | — | 1932386075 |
| JOSEPH FOLARIN ALAKA SR. | BBA | 1366610248 |
| RONNIE STEPHENS | — | 1568637791 |
| MS. RELONDIA DELANEY | — | 1316183171 |
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.