Domenic Michael Canonico, M.D.

NPI #1770551640 in Tullahoma, Tennessee

Provider Information

NPI Number
1770551640
Entity Type
Individual
Name
Domenic Michael Canonico, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Otolaryngology - Plastic Surgery within the Head & Neck
Credential
M.D.
Enumeration Date
Mar 8, 2006
Last Updated
Jul 14, 2015

Practice Location

Address
507 NW ATLANTIC ST
ZIP Code
37388-3504
Phone
(931) 393-4332

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Plastic Surgery within the Head & NeckPlastic Surgery within the Head & Neck

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Organizations

Provider Name
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