Individual
DR. GENE RICHARD DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1260 NORTH VAN DYKE, BAD AXE, MI 48413-8077
(989) 269-7489
Mailing address
1260 NORTH VAN DYKE, BAD AXE, MI 48413-8077
(989) 269-7489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002250
MI
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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