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Contact Information

DOMINIC A GARRISI, DO
21018 BON BRAE
SAINT CLAIR SHORES, MI48081
 Phone: 586-774-1837
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DOMINIC A GARRISI · (Male)

NPI Number 1508094350
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/30/2009
Last updated 06/30/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 2270743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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