IndividualActive
Dominic Carter
NPI 1700507415 · Driver · Milwaukee, WI
Provider details
- NPI number
- 1700507415
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
11031 W Fairlane Ave
Milwaukee, WI 53224-2585
Registry dates
- Enumerated
- 2022-09-09
- Last updated
- 2022-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.