| Terry Gayle Domino, MD | |
|
1835 West County Road C, Roseville, MN 55113-1304 | |
| (763) 785-4300 | |
| (763) 785-3314 |
| Full Name | Terry Gayle Domino |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1835 West County Road C, Roseville, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396727988 | NPI | - | NPPES |
| 33858500C | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22141 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Gayle Domino, MD 1835 West County Road C, Roseville, MN 55113-1304 Ph: (763) 785-4300 | Terry Gayle Domino, MD 1835 West County Road C, Roseville, MN 55113-1304 Ph: (763) 785-4300 |
Keith Kenneth Krueger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2336 Lexington Ave N, Roseville, MN 55113 Phone: 651-631-0065 Fax: 651-631-0096 | |
Mrs. Michelle Elizabeth Easton, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 763-412-1993 | |
Dr. Alison J Forney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 651-765-5900 Fax: 651-765-5901 | |
Dr. Foung Lo, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2680 Snelling Ave N, Suite 200, Roseville, MN 55113 Phone: 651-326-1600 Fax: 651-326-1565 | |
Kari Lea Halvorson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 952-967-6620 | |
Norman Tracy Wolf, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-635-0054 Fax: 651-635-0949 | |
Andrew N Nottleson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 651-765-5900 Fax: 651-765-5901 |