Search › Michigan › 122300000X
Paul Domin
NPI 1639380561 · on the registry since 2007 · sole proprietor
Practice
- Address
- 111 E Michigan Ave
Marshall, MI 49068 - Phone
- (269) 781-5563
- Organisation at this address
- Xyz Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan