Individual
STEFANIE DOMANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
46325 W TWELVE MILE RD STE 100, NOVI, MI 48377-2457
(248) 618-2121
Mailing address
2544 SPINDLEHILL DR APT 5, CINCINNATI, OH 45230-1047
(248) 515-3507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704292372
MI
Other
Enumeration date
11/17/2016
Last updated
12/22/2025
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