Individual
MR. DOMINIC JEROME GIALLOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT(ASCP), RN, PA-C
Contact information
Practice address
652 N OTSEGO AVE, GAYLORD, MI 49735-2502
(989) 732-3529
(989) 732-7865
Mailing address
652 N OTSEGO AVE, GAYLORD, MI 49735-2502
(989) 732-3529
(989) 732-7865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005278
MI
Other
Enumeration date
07/16/2008
Last updated
01/06/2021
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