IndividualActive
Mary Dominski, MD
NPI 1407895428 · Neurology with Special Qualifications in Child Neurology Physician · Madison, WI
Provider details
- NPI number
- 1407895428
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 26119-20 (WI)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 26119-20 (WI)
Allopathic & Osteopathic Physicians
Practice location
700 S Park St
Madison, WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-3442
Approximate (ZIP-level) locationGet directions
Mailing address
700 S Park St
Madison, WI 53715-1830
Registry dates
- Enumerated
- 2006-06-05
- Last updated
- 2020-11-10
- Certified
- 2020-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.