Mary K Dominski in Madison - Neurology With Special Qualifications In Child Neurology

Mary K Dominski - NPI 1407895428

Mary K Dominski is a Neurology With Special Qualifications In Child Neurology in Madison, Wisconsin. Mary K Dominski practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Mary K Dominski is 1407895428. The last update date is 2020-11-10.

Mary K Dominski's current location address is 700 S Park St, Madison, Wisconsin. You can contact this provider via phone number 6082602900 and fax number 6082603442. The mailing address for Mary K Dominski is 700 S Park St, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary K Dominski
Address 700 S Park St, Madison, Wisconsin
Phone Number 6082602900
Fax Number 6082603442
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407895428
Provider Enumeration Date 2006-06-05
Last Updated Date 2020-11-10

Provider Mailing Address Detail

Address 700 S Park St
City Madison
State Wisconsin (WI)
Post Code 537151830
Phone Number 6082602900
Fax Number 6082603442

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No 26119-20
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1407895428 WI --

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FAQs about Mary K Dominski

What is the unique 10-digit identification code issued to Mary K Dominski by the Centers for Medicare & Medicaid Services?

The Mary K Dominski has been assigned the NPI (National Provider Identifier) 1407895428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Mary K Dominski?

The Mary K Dominski is physically situated at 700 S Park St, in the city of Madison, state of WI, with the postal code 537151830.

What is Mary K Dominski's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary K Dominski is Neurology With Special Qualifications In Child Neurology, and the taxonomy code that classifies this field of practice is 2084N0402X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407895428 to Mary K Dominski?

The Mary K Dominski received its 1407895428 assignment from the Centers for Medicare & Medicaid Services on 2006-06-05.

As of what date were the details related to Mary K Dominski most recently updated or revised?

The information pertaining to Mary K Dominski, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-10.

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