Individual
ANGIE F DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
926 N MICHIGAN AVE, SAGINAW, MI 48602-4323
(989) 753-8453
(989) 753-3519
Mailing address
926 N MICHIGAN AVE, SAGINAW, MI 48602-4323
(989) 753-8453
(989) 753-3519
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
AD065940
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4290660
—
MI
Enumeration date
07/18/2005
Last updated
04/19/2010
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