Lewis R Domke in Wauwatosa - Geriatric Medicine
Lewis R Domke - NPI 1407865967
Lewis R Domke is a Geriatric Medicine in Wauwatosa, Wisconsin. Lewis R Domke practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Lewis R Domke is 1407865967. The last update date is 2023-03-07.
Lewis R Domke's current location address is 201 N Mayfair Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4142561940 and fax number 4142561941. The mailing address for Lewis R Domke is 201 N Mayfair Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lewis R Domke |
|---|---|
| Address | 201 N Mayfair Rd, Wauwatosa, Wisconsin |
| Phone Number | 4142561940 |
| Fax Number | 4142561941 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407865967 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 201 N Mayfair Rd |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532264216 |
| Phone Number | 4142561940 |
| Fax Number | 4142561941 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 46542 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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What is the unique 10-digit identifier code assigned to Lewis R Domke by the Centers for Medicare & Medicaid Services?
The Lewis R Domke has been issued the NPI (National Provider Identifier) 1407865967 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lewis R Domke is physically located?
The Lewis R Domke is physically situated at the following address: 201 N Mayfair Rd, Wauwatosa, WI, 532264216.
What is Lewis R Domke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lewis R Domke is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Rg0300X.
On what date was the 1407865967 assigned to Lewis R Domke?
The Lewis R Domke was issued its 1407865967 on 2006-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lewis R Domke's details last updated?
The information pertaining to the Lewis R Domke, including its address, specialty, and other details, was most recently updated on 2023-03-07.