Michele Domenick, MD Valid NPI

Individual provider · Surgery Physician · Easton, MD

NPI

1720052400

Type

Individual (Type 1)

Primary specialty

Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208600000X

License number

D92021 (MD)

Sex

Female

Sole proprietor

No

Enumerated

2006-02-17

Last updated

2021-07-20