DR. Dominika Grodzicka Heusinkveld, MD

NPI #1861483471 in Tuba City, Arizona

Provider Information

NPI Number
1861483471
Entity Type
Individual
Name
DR. Dominika Grodzicka Heusinkveld, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Nov 2, 2005
Last Updated
Feb 17, 2014

Practice Location

Address
167 NORTH MAIN STREET
State
Arizona
ZIP Code
86045-0600
Phone
(928) 283-2458

Specialties & Taxonomy Codes

Specialty
Family Medicine

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