Individual
DANMAR T DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
TRINITY HEALTH IHA MEDICAL GROUP ENDOCRINOLOGY, 19000 ST JOE'S PARKWAY SUITE 300, LIVONIA, MI 48152-1477
(734) 884-5196
(248) 696-3175
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(313) 757-0157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704288276
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704288276
MI
Other
Enumeration date
03/08/2019
Last updated
08/02/2023
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