Individual
DOMINIC A. PERROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3001
(734) 712-7388
Mailing address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3001
(734) 712-7388
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15083R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551236
—
LA
Enumeration date
01/04/2006
Last updated
11/05/2007
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