Dr. Dominic Anthony Garrisi, D.O.
Anesthesiology in St. Clair Shores, MI. Individual provider (NPI-1).
NPI number1508094350
StatusActive
Last updated in NPPESJun 30, 2009
Details
- NPI
- 1508094350
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dominic Anthony Garrisi
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2009
- Last updated
- Jun 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 2270743 | MI | Yes |
Practice location
21018 Bon BraeSt. Clair Shores, MI 48081
Phone 586-774-1837
Mailing address
21018 Bon BraeSt. Clair Shores, MI 48081
Phone 586-774-1837
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