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ALFREDO CANLAS DOMINGO M.D.

>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1922168863

Individual Registrant:
 ALFREDO CANLAS DOMINGO M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
74 S ELK ST  SANDUSKY, MI 48471-1354 US
Tel: 810-648-4229  Fax: 810-648-4217

Contact information for business:
3532 MAIN ST  DECKERVILLE, MI 48427-9615 US
Tel: 810-648-0561  Fax: 810-648-3352

Registration Information:
NPI: 1922168863
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
MI4301044325

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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