Wayne E Domenick (NPI# 1396743852, PAC ID# 6406819374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1396743852 |
PAC ID by PECOS | 6406819374 |
Professional Enrollment ID | I20041111000072 |
Full Name | Wayne E Domenick |
Address |
9037 S State Rd Goodrich MI 48438-8869 |
Gender | M |
Credential | DC |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 2004 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4085 S Ctr Rd, Burton, MI 48519-1957 | ||
9037 S State Rd, Goodrich, MI 48438-8869 |
Street Address |
9037 S STATE RD |
City | GOODRICH |
State | MI |
Zip | 48438-8869 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heidi B Hilton-kosch | Family Medicine | Ascension Medical Group Genesys | 7477 S State Rd, Goodrich, MI 48438-8745 |
Mark Clark | Family Practice | Genesys Integrated Group Practice PC | 7477 S State Rd, Goodrich, MI 48438-8745 |
Valerie J Duerr | Family Practice | Genesys Integrated Group Practice PC | 7477 S State Rd, Goodrich, MI 48438-8745 |
Yamini Ramalingam | Family Medicine | 5339 S State Rd, Goodrich, MI 48438-8846 |
City | GOODRICH |
Zip Code | 48438 |
Specialty | CHIROPRACTIC |
City + Specialty | GOODRICH + CHIROPRACTIC |
Please comment or provide details below to improve the information on Wayne E Domenick.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.