Individual provider · Type 1 NPI

Michael Matthew Dominello, DO

Radiation Oncology Physician · Detroit, MI

NPI number 1003135500 Active

Practice location

4100 John R
Detroit, MI 48201-2013

Call (800) 527-6266 Map

Fax (313) 576-9640

Mailing address

1560 E Maple Rd, Suite 400 - Credentialing Department
Troy, MI 48083-1138

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001X5101019388 (MI)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

18 other providers at this address

Other radiation oncology physician providers in Detroit

See all in Detroit →

About NPI 1003135500

Michael Matthew Dominello, DO's National Provider Identifier is 1003135500, issued on May 24, 2010. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Detroit, MI. The record was last updated on Jul 28, 2015.