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

Domonique Gordon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780529123

Domonique Gordon is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone: (414) 585-1000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780529123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Other providers in Milwaukee