Individual
JEFFREY PAUL DOMBROSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 LONG RAPIDS PLZ, ALPENA, MI 49707-1394
(989) 356-9333
Mailing address
401 LONG RAPIDS PLZ, ALPENA, MI 49707-1394
(989) 356-9333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235396961
3860000029
MI
Enumeration date
05/20/2008
Last updated
02/08/2010
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