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Organization
TECUMSEH FAMILY PRACTICE P.C.
Active
Organization
TECUMSEH FAMILY PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R DOMAN D.O. (PRESIDENT)
(517) 423-2960
Entity
Organization
Contact information
Practice address
501 E CUMMINS ST, TECUMSEH, MI 49286-2070
(517) 423-2960
(517) 423-2786
Mailing address
501 E CUMMINS ST, TECUMSEH, MI 49286-2070
(517) 423-2960
(517) 423-2786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008869
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700D61016
BCBS OF MICHIGAN
MI
Enumeration date
02/07/2008
Last updated
10/12/2010
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