Individual provider · Type 1 NPI

Stephanie Jean Dominguez, PA-C

Medical Physician Assistant · Milwaukee, WI

NPI number 1750683371 Active

Practice location

342 N Water St Ste 600
Milwaukee, WI 53202-5715

Call (651) 342-1039 Map

Fax (651) 342-1428

Mailing address

270 Main St N Ste 300
Stillwater, MN 55082-6788

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2696-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1750683371

Stephanie Jean Dominguez, PA-C's National Provider Identifier is 1750683371, issued on Dec 2, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Milwaukee, WI. The record was last updated on May 4, 2026.