Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VICTOR LUIS DOMINGUEZ, M.D.
Active Sole ProprietorDR. VICTOR LUIS DOMINGUEZ, M.D. is a Family Medicine healthcare provider located in PRUDENVILLE, Michigan. NPI 1184711863 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PRUDENVILLE, MI
Registration Details
- NPI Number
- 1184711863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.855013192547 yrs)
- Last Updated
- Dec 8, 2010
- License
-
069548 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2585 W HOUGHTON LAKE DRPRUDENVILLE, MI, 486519624Browse MI providers · Browse ZIP 48651
- Phone
- 9893662900
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PRUDENVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. NICHOLAS WILLIAM BLANK | M.D. | 1275914244 |
| VICTORIA CATHERINE WATTERS | MD | 1689163107 |
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.