Individual
DOMINIC IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1035 CHARLEVOIX DR STE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
Mailing address
1035 CHARLEVOIX DR, GRAND LEDGE, MI 48837-2223
(517) 627-2181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101027018
MI
Other
Enumeration date
06/04/2020
Last updated
05/01/2025
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