Individual provider · Type 1 NPI

Dominique Wallace

Non-emergency Medical Transport (VAN) · Milwaukee, WI

NPI number 1265324511 Active

Practice location

3739 N 38th St
Milwaukee, WI 53216-3011

Call (262) 672-3139 Map

Fax (262) 672-3139

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) Primary 343900000XW4201789495600 (WI)

Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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About NPI 1265324511

Dominique Wallace's National Provider Identifier is 1265324511, issued on Jul 18, 2025. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 18, 2025.