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Contact Information

DOMINIC TOMCZYK
N84W16889 MENOMONEE AVE
MENOMONEE FALLS, WI53051
 Phone: 262-251-7500
 Fax: 262-532-1396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DOMINIC TOMCZYK · (Male)

NPI # 1144880824
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2019
Last updated 09/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • License # 14650-024
  • WI Medicaid 100089546
  • WI Medicaid 14650-024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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