Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian J Dominguez, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952097065

Ian J Dominguez, DO is a Student in an Organized Health Care Education/Training Program in Warren, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11885 E 12 Mile Rd Ste 300A
Warren, MI 48093-3467
Phone: (586) 573-7470
Fax: (586) 573-0850
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1952097065
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467

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