Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS - Physical Therapist in Detroit, MI

Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS is a Physical Therapist based in Detroit, Michigan. Mr Stephen Joseph Domzalski is licensed to practice in * (Not Available) (license number 5501010179) and his current practice location is 5101 John C. Lodge, 101 Matthaei, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (313) 577-5833.

NPI number for Mr Stephen Joseph Domzalski is 1760498828 and his current mailing address is 5101 John C. Lodge, 101 Matthaei, Detroit, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760498828.

Contact Information

Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS
5101 John C. Lodge, 101 Matthaei,
Detroit, MI 48202
(313) 577-5833
(313) 577-1012

Map and Direction




Healthcare Provider's Profile

Full NameMr Stephen Joseph Domzalski
GenderMale
SpecialityPhysical Therapist
Location5101 John C. Lodge, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760498828
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 12/10/2015

Medical Identifiers

Medical identifiers for Mr Stephen Joseph Domzalski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760498828NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501010179 (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Stephen Joseph Domzalski is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS
5101 John C. Lodge, 101 Matthaei,
Detroit, MI 48202

Ph: (313) 577-5833
Mr Stephen Joseph Domzalski, MPT, SCS, ATC, CSCS
5101 John C. Lodge, 101 Matthaei,
Detroit, MI 48202

Ph: (313) 577-5833

Reviews and Comments


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