Individual
ALFREDO CANLAS DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74 S ELK ST, SANDUSKY, MI 48471-1354
(810) 648-4229
(810) 648-4217
Mailing address
3532 MAIN ST, DECKERVILLE, MI 48427-9615
(810) 648-0561
(810) 648-3352
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301044325
MI
Other
Enumeration date
12/11/2006
Last updated
05/11/2017
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