Individual provider · Type 1 NPI

Teresa Marie Didomenico, PA-C

Physician Assistant · Munising, MI

NPI number 1114037207 Active

Practice location

1504 Sand Point Road
Munising, MI 49862-1406

Call (906) 387-4220 Map

Fax (906) 387-5449

Mailing address

PO Box 201
Eben Junction, MI 49825-0201

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	5601002779 (MI)
Emergency Medicine Physician	207P00000X	5601002779 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114037207

Teresa Marie Didomenico, PA-C's National Provider Identifier is 1114037207, issued on Aug 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Munising, MI. The record was last updated on Feb 19, 2009.