MRS. TERESA DIDOMENICO, PA-C

Physician Assistant

Active Individual
NPI: 1114037207

Practice Address

1504 SAND POINT ROAD
Munising, MI 49862

Phone: (906) 387-4220

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 5601002779 (MI)
Emergency Medicine 207P00000X No 5601002779 (MI)

Frequently Asked Questions

NPI 1114037207 is the National Provider Identifier for MRS. TERESA DIDOMENICO, PA-C, a Physician Assistant provider located in Munising, MI. This NPI was enumerated on August 30, 2006.
MRS. TERESA DIDOMENICO, PA-C practices at 1504 SAND POINT ROAD, Munising, MI 49862.

Quick Facts

NPI
1114037207
Type
Individual
Enumerated
Aug 30, 2006
Last Updated
Feb 19, 2009

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