Luis F. Domenech, M.D.

NPI #1275694242 in Benton Harbor, Michigan

Provider Information

NPI Number: 1275694242
Entity Type: Individual
Name: Luis F. Domenech, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Dec 13, 2006
Last Updated: Dec 15, 2020

Practice Location

Address: 1385 EAST EMPIRE AVENUE
City: Benton Harbor
State: Michigan
ZIP Code: 49022-2037
Phone: (800) 979-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
General Practice	208D00000X

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