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Individual

ROBERT M DOMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
049992
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417984733
MI
05
2742545
MI
05
2865222
MI
01
RD049992
BC/BS
MI
Enumeration date
06/26/2006
Last updated
12/21/2021
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