| Mrs Teresa Marie Didomenico, PA-C | |
|
1504 Sand Point Road, Munising, MI 49862-1406 | |
| (906) 387-4220 | |
| (906) 387-5449 |
| Full Name | Mrs Teresa Marie Didomenico |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1504 Sand Point Road, Munising, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114037207 | NPI | - | NPPES |
| 5601002779 | Other | MI | MI STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002779 (Michigan) | Primary |
| 207P00000X | Emergency Medicine | 5601002779 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Teresa Marie Didomenico, PA-C Po Box 201, Eben Junction, MI 49825-0201 Ph: (906) 439-5775 | Mrs Teresa Marie Didomenico, PA-C 1504 Sand Point Road, Munising, MI 49862-1406 Ph: (906) 387-4220 |
Bonnie Lou Kilpela, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4110 | |
Amy G Westcomb, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 622 W Superior St, Munising Tribal Health Center, Munising, MI 49862 Phone: 906-387-4721 Fax: 906-387-4727 | |
Joshua David Kocha, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 515 W Onota St Apt 1, Munising, MI 49862 Phone: 920-289-0171 | |
Dylan Koenig, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4110 | |
Nicole Roth, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4110 | |
Bridget Stoetzer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Sandpoint Rd, Munising, MI 49862 Phone: 906-387-4110 |