| Luis F Domenech, MD | |
|
1385 East Empire Avenue, Benton Harbor, MI 49022-2037 | |
| (800) 979-9595 | |
| (248) 662-9845 |
| Full Name | Luis F Domenech |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1385 East Empire Avenue, Benton Harbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275694242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301077232 (Michigan) | Primary |
| 208D00000X | General Practice | 9465 (Puerto Rico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Luis F Domenech, MD 21333 Haggerty Rd., Suite 150, Novi, MI 48375-5514 Ph: (248) 662-0250 | Luis F Domenech, MD 1385 East Empire Avenue, Benton Harbor, MI 49022-2037 Ph: (800) 979-9595 |
Dr. Bridget E Reidy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2550 Meadowbrook Road, Benton Harbor, MI 49022 Phone: 269-985-4441 Fax: 269-985-4494 | |
Dr. Mary Margaret Wolf, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 M-139, Benton Harbor, MI 49022 Phone: 269-927-5400 Fax: 269-927-5493 | |
Dr. John Maccart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 M-139, Benton Harbor, MI 49022 Phone: 269-927-5400 Fax: 269-927-5493 | |
Gregory S Wallin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1986 Mall Pl, Benton Harbor, MI 49022 Phone: 269-945-5854 Fax: 369-945-5854 |