MICHAEL MATTHEW DOMINELLO

DETROIT, MI
NPI1003135500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MI  5101019388)
Enumeration Date2010-05-24
Last Update Date2015-07-28
Business Address
Dr. MICHAEL MATTHEW DOMINELLO DO
4100 JOHN R
DETROIT, MI 48201-2013
Phone number: 800-527-6266
Mailing Address
Dr. MICHAEL MATTHEW DOMINELLO DO
1560 E MAPLE RD SUITE 400 - CREDENTIALING DEPARTMENT
TROY, MI 48083-1138
Phone number: 800-527-6266
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