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Domenic Michael Canonico, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Tullahoma, Tennessee
NPI 1770551640

Domenic Michael Canonico is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in Tullahoma, TN and is specialized in Plastic Surgery within the Head & Neck. Domenic Michael Canonico practices in Tullahoma, TN and has the professional credentials of MD. The NPI Number for Domenic Michael Canonico is 1770551640 and holds a License No. 18819 (Tennessee).

The current practice location address for Domenic Michael Canonico is 507 Nw Atlantic St, Tullahoma, TN and can be reached out via phone at 931-393-4332 and via fax at 931-393-2304.

Location: 507 Nw Atlantic St, Tullahoma, TN, 37388-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770551640
Provider Name
Domenic Michael Canonico
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
507 Nw Atlantic St, Tullahoma, TN, 37388-3504
Phone Number
931-393-4332
Fax Number
931-393-2304
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0192943 01 TN BCBS
040013804 01 TN RAILROAD MEDICARE
3085592 05 TN
institution
Provider Business Practice Location Address Details
Address
507 Nw Atlantic St
City
Tullahoma
State
Tennessee
Zip
37388-3504
Phone Number
931-393-4332
Fax Number
931-393-2304
person
Provider Business Mailing Address Details
Address
507 Nw Atlantic St
City
Tullahoma
State
Tennessee
Zip
37388-3504
Phone Number
931-393-4332
Fax Number
931-393-2304
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
18819 (Tennessee)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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Similar Doctors in Tullahoma, Tennessee:

institution
Canonico Ear, Nose And Throat, P.c.
NPI 1932177805
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
507 Nw Atlantic St,
TULLAHOMA, TN
37388-3504
931-393-4332
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