Erica Domaleczny, MMS, PA-C

NPI #1770003824 in Wickliffe, Ohio

Provider Information

NPI Number: 1770003824
Entity Type: Individual
Name: Erica Domaleczny, MMS, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: MMS, PA-C
Enumeration Date: Jun 20, 2017
Last Updated: Jun 20, 2017

Practice Location

Address: 1533 DOUGLAS RD
City: Wickliffe
State: Ohio
ZIP Code: 44092-1001
Phone: (937) 344-7911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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