Domenic Michael Canonico, MD
Domenic Michael Canonico, MD is an Otolaryngology in Tullahoma, Tennessee. Graduated from Vanderbilt University School of Medicine in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 39
- Trained at
- Vanderbilt University School of Medicine
- Licensed in
- TN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
507 NW Atlantic StTullahoma, TN 37388-3504
Phone: (931) 393-4332
Fax: (931) 393-2304
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) | Taxonomy 207YX0007X · Licence 18819 (TN) |
|---|
Record details
| NPI number | 1770551640 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 8, 2006 |
| Last updated in NPPES | July 14, 2015 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1987 (39 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Tullahoma
-
Canonico Ear, Nose and Throat, PC
507 NW Atlantic St, Tullahoma, TN 37388-3504 · (931) 393-4332