Marek Domanski, MD | |
1000 W 10th St, Rolla, MO 65401-2905 | |
(573) 458-8899 | |
Not Available |
Full Name | Marek Domanski |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1000 W 10th St, Rolla, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619064037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2005001327 (Michigan) | Primary |
Entity Name | Pediatric Anesthesia Associates Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558588871 PECOS PAC ID: 5193963718 Enrollment ID: O20130521000226 |
Mailing Address | Practice Location Address |
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Marek Domanski, MD Po Box 220, Rolla, MO 65402-0220 Ph: (573) 458-8899 | Marek Domanski, MD 1000 W 10th St, Rolla, MO 65401-2905 Ph: (573) 458-8899 |
William S Anast, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 417-458-6637 | |
Dr. William J Knox, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-7879 Fax: 573-458-8484 | |
Jennifer Corbid, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 |