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Wayne E Domenick, DC
Chiropractor in Goodrich, Michigan
NPI 1396743852

Wayne E Domenick is a Chiropractor based in Goodrich, MI. Wayne E Domenick practices in Goodrich, MI and has the professional credentials of DC. The NPI Number for Wayne E Domenick is 1396743852 and holds a License No. 2301008818 (Michigan).

The current practice location address for Wayne E Domenick is 9037 S State Rd, Goodrich, MI and can be reached out via phone at 810-636-2190 and via fax at 810-636-7855.

Location: 9037 S State Rd, Goodrich, MI, 48438-8869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396743852
Provider Name
Wayne E Domenick
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
9037 S State Rd, Goodrich, MI, 48438-8869
Phone Number
810-636-2190
Fax Number
810-636-7855
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4724081 05 MI
0999848 01 MI HEALTH PLUS
950B514920 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
9037 S State Rd
City
Goodrich
State
Michigan
Zip
48438-8869
Phone Number
810-636-2190
Fax Number
810-636-7855
person
Provider Business Mailing Address Details
Address
9037 S State Rd
City
Goodrich
State
Michigan
Zip
48438-8869
Phone Number
810-636-2190
Fax Number
810-636-7855
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301008818 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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