Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TERESA MARIE DIDOMENICO, PA-C
ActivePhysician Assistant · MUNISING, MI
Registration Details
- NPI Number
- 1114037207
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.673017472319 yrs)
- Last Updated
- Feb 19, 2009
- Licenses
-
5601002779 (MI)5601002779 (MI)
Practice Information
- Address
-
1504 SAND POINT ROADMUNISING, MI, 498621406Browse MI providers · Browse ZIP 49862
- Phone
- 9063874220
- Fax
- 9063875449
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Emergency Medicine
Other Physician Assistant Providers in MUNISING, MI
| Name | Credential | NPI |
|---|---|---|
| BONNIE LOU KILPELA | P.A. | 1326022286 |
| ROBERT C KAMP II | PA-C | 1992739429 |
| AMY G WESTCOMB | PA | 1457448920 |
| JOSHUA DAVID KOCHA | P.A.-C | 1457687873 |
| NICOLE ROTH | PA | 1831447770 |
| DYLAN KOENIG | PA | 1780156232 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.