MRS. Teresa Marie Didomenico, PA-C

NPI #1114037207 in Munising, Michigan

Provider Information

NPI Number: 1114037207
Entity Type: Individual
Name: MRS. Teresa Marie Didomenico, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 30, 2006
Last Updated: Feb 19, 2009

Practice Location

Address: 1504 SAND POINT ROAD
City: Munising
State: Michigan
ZIP Code: 49862-1406
Phone: (906) 387-4220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Emergency Medicine	207P00000X

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