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

Mrs. Teresa Marie Didomenico, PA-C

Individual provider Physician Assistant · NPI 1114037207

Mrs. Teresa Marie Didomenico, PA-C is a Physician Assistant in Munising, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1504 Sand Point Rd
Munising, MI 49862-1406
Phone: (906) 387-4220
Fax: (906) 387-5449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002779 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5601002779 (MI)

Record details

NPI number1114037207
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 19, 2009

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