Individual
DR. MICHAEL J. DOMANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201
(410) 328-7877
(410) 328-1048
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8040
(443) 462-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D20933
MD
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
D20933
MD
207RC0000X
Cardiovascular Disease Physician
D20933
MD
207RI0011X
Interventional Cardiology Physician
D20933
MD
Other
Enumeration date
01/30/2006
Last updated
08/21/2018
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