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

DAVID J DOMINGUESE, MS, ATC, CSCS

Active

Athletic Trainer · WAUKESHA, WI

Registration Details

NPI Number
1508820010
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2006 (20.025659696285 yrs)
Last Updated
Jul 8, 2007
License
615-039 (WI)

Practice Information

Address
1111 DELAFIELD ST
SUITE 120
WAUKESHA, WI, 531883417
Browse WI providers · Browse ZIP 53188
Phone
2625219762
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WAUKESHA, WI

Name Credential NPI
DR. JEFFREY P SISCHO DPT, LAT, PT 1588657902
MR. MICHAEL MCELROY LAT, ATC, CSCS 1740275601
JESSIE RAE BROVOLD ATC, ATR 1255326831
MR. DEREK CARL STEBBINS ATC 1386608479
MISS LACEY M RUNYON DAT, LAT, ATC 1811951700
MR. BEETHOVEN CARABACAN LAT, CSCS, BS, MS 1760448617
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.