Individual provider · Type 1 NPI

Michele Domenick, MD

Surgery Physician · Easton, MD

NPI number 1720052400 Active

Practice location

500 Cadmus Ln Ste 205
Easton, MD 21601-4094

Call (410) 822-4553 Map

Mailing address

200 Banning St, Suite 310
Dover, DE 19904-3485

Other practice locations

200 Banning St, Suite 200, Dover, DE 19904-3485 · (302) 674-0600

Specialties and licenses

Taxonomy	Code	License
Specialist	174400000X	C1-0006569 (DE)
Family Medicine Physician	207Q00000X	C1-0006569 (DE)
Surgery Physician Primary	208600000X	D92021 (MD)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1720052400

Michele Domenick, MD's National Provider Identifier is 1720052400, issued on Feb 17, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Easton, MD. The record was last updated on Jul 20, 2021.