Dr MARK T DOMENICK MD is a male medical professional, specializing in Family Medicine. He graduated in 1983 from West Virginia University School Of Medicine.
WELLSPRING FAMILY MEDICINE PC
20 N 3RD ST
OAKLAND
MD
215501322
Tel: 3013347855
| Npi | 1770536476 |
| Pac Id | 4981687753 |
| Professional Enrollment Id | I20040611000615 |
| Last Name | DOMENICK |
| First Name | MARK |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | WELLSPRING FAMILY MEDICINE PC |
| Group Practice Pac Id | 7012986763 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 20 N 3RD ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OAKLAND |
| State | MD |
| Zip Code | 215501322 |
| Phone Number | 3013347855 |
| Hospital Affiliation Ccn 1 | 210017 |
| Hospital Affiliation Lbn 1 | GARRETT COUNTY MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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