Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Wallace

Individual provider Non-emergency Medical Transport (VAN) · NPI 1265324511

Dominique Wallace is a Non-emergency Medical Transport (VAN) in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

3739 N 38th St
Milwaukee, WI 53216-3011
Phone: (262) 672-3139
Fax: (262) 672-3139
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence W4201789495600 (WI)

Record details

NPI number1265324511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

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