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Beau Fabacher Domangue, MD
Emergency Medicine Physician in Garden City, Michigan
NPI 1588160428

Beau Fabacher Domangue is a Emergency Medicine Physician based in Westland, MI. Beau Fabacher Domangue practices in Garden City, MI and has the professional credentials of MD. The NPI Number for Beau Fabacher Domangue is 1588160428 and holds a License No. 329233 (Michigan).

The current practice location address for Beau Fabacher Domangue is 6245 Inkster Rd, Garden City, MI and can be reached out via phone at 504-512-5203.

Location: 6245 Inkster Rd, Garden City, MI, 48185-5848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588160428
Provider Name
Beau Fabacher Domangue
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6245 Inkster Rd, Garden City, MI, 48185-5848
Phone Number
504-512-5203
Fax Number
Provider Enumeration Date
03/31/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13037585 05 LA
5315236518 01 MI CDS LICENSE FROM BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
6245 Inkster Rd
City
Garden City
State
Michigan
Zip
48135-4001
Phone Number
504-512-5203
Fax Number
person
Provider Business Mailing Address Details
Address
6245 Inkster Rd
City
Garden City
State
Michigan
Zip
48135-4001
Phone Number
504-512-5203
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4301506642 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
329233 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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