Individual
DR. LESLIE JOSEPH DOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
702 COMMERCE DR, STE 160, PERRYSBURG, OH 43551-5271
(419) 872-7600
(419) 872-7601
Mailing address
702 COMMERCE DR, SUITE 160, PERRYSBURG, OH 43551-5239
(419) 872-7600
(419) 872-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-036629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226731
—
OH
Enumeration date
06/26/2005
Last updated
02/15/2013
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