SearchMichigan363LA2100X

Rachael Domino, NP

NPI 1811374408 · on the registry since 2015

Practice

Address
22101 Moross Rd
Detroit, MI 48236
Phone
(313) 343-7453
Organisation at this address
Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
502

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-03

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