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DOMOSE ENODUNMWENBEN MD
NPI 1679377212
Student in an Organized Health Care Education/Training Program in Appleton, WI

Active since April 02, 2025
100 N ONEIDA ST, APPLETON, WI 54911(920) 832-2783 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Domose Enodunmwenben Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMOSE ENODUNMWENBEN MD (NPI 1679377212) is an individual student in an organized health care education/training program in Appleton, Wisconsin and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679377212
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDOMOSE ENODUNMWENBENCredential: MD
Location Address100 N ONEIDA STAppleton, WI 54911-4733
Mailing Address100 N Oneida StAppleton, WI 54911-4733 · (920) 832-2783
Phone(920) 832-2783
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1679377212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 N ONEIDA ST, Appleton, WI 54911
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Other Names 1

Former Name (1)Domose Ikpe Md

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EZRAH CHUKWUNONSO ONYEJIDE MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
EMILY CALBA MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
DR. BRIAN SCOTT NEIHEISEL DO
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
MOSAIC FAMILY HEALTH, INC
Family Medicine
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
MADELINE ANN LENZ DO
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
MATTHEW READER MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
ANNE WALLACE
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783
JOAO LISBOA SILVA MD
Student in an Organized Health Care Education/Training Program
100 N ONEIDA ST
APPLETON, WI 54911
Outagamie County (920) 832-2783

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Domose Enodunmwenben's NPI number?

The NPI number for Domose Enodunmwenben is 1679377212. It was assigned to this individual provider in the NPPES registry on April 2, 2025. The provider is also known as Domose Ikpe MD.

Where is Domose Enodunmwenben located?

Domose Enodunmwenben practices at 100 N Oneida St, Appleton, WI 54911. The listed phone number is (920) 832-2783.

What is Domose Enodunmwenben's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Domose Enodunmwenben was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.