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. You can also correspond with Domenic Michael Canonico through the mailing address at 507 NW ATLANTIC ST, TULLAHOMA, TN - 37388-3504 (mailing address contact number: 931-393-4332).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0192943 | 01 | TN | BCBS |
| 040013804 | 01 | TN | RAILROAD MEDICARE |
| 3085592 | 05 | TN |
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