Individual
DANIEL DOMIJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301513705
MI
208000000X
Pediatrics Physician
Primary
4301513705
MI
Other
Enumeration date
03/31/2020
Last updated
10/06/2025
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