Individual
DOMINIQUE L SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Mailing address
PO BOX 151, DECATUR, IN 46733-0151
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2020-0249
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110185341A
—
MA
05
—
300083719
—
IN
05
—
3138553
—
NH
Enumeration date
04/05/2017
Last updated
01/28/2025
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