Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ELIE TADIESSE DOMGUIA
Active Sole ProprietorMR. ELIE TADIESSE DOMGUIA is a Driver healthcare provider located in WEST ALLIS, Wisconsin. NPI 1386347474 is currently active in the NPPES registry. Verify at CMS.
Driver · WEST ALLIS, WI
Registration Details
- NPI Number
- 1386347474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2023 (3.4038414994614 yrs)
- Last Updated
- Mar 27, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1428 S 88TH STWEST ALLIS, WI, 532144303Browse WI providers · Browse ZIP 53214
- Phone
- 4143791079
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in WEST ALLIS, WI
| Name | Credential | NPI |
|---|---|---|
| BRIAN KEHLNHOFER | — | 1932644168 |
| TAMARA D SUMMERVILLE | — | 1811761166 |
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.