Pedro Armando Manjarrez Dominguez, in Belgium, WI - Speech-Language Pathologist

Pedro Armando Manjarrez Dominguez, is a Speech-language Pathologist based in Belgium, Wisconsin. Pedro Armando Manjarrez Dominguez is licensed to practice in Wisconsin (license number 4424-154) and his current practice location is 101 Peter Thein Ave Unit D, Belgium, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (479) 249-5624.

NPI number for Pedro Armando Manjarrez Dominguez is 1255861928 and his current mailing address is 101 Peter Thein Ave Unit D, Belgium, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255861928.

Contact Information

	Pedro Armando Manjarrez Dominguez,
	101 Peter Thein Ave Unit D, Belgium, WI 53004-9520
	(479) 249-5624
	Not Available

Healthcare Provider's Profile

Full Name	Pedro Armando Manjarrez Dominguez
Gender	Male
Speciality	Speech-language Pathologist
Location	101 Peter Thein Ave Unit D, Belgium, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1255861928
Provider Enumeration Date: 06/15/2017
Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Pedro Armando Manjarrez Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255861928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	4424-154 (Wisconsin)	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. Pedro Armando Manjarrez Dominguez 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 Address	Practice Location Address
Pedro Armando Manjarrez Dominguez, 101 Peter Thein Ave Unit D, Belgium, WI 53004-9520 Ph: (479) 249-5624	Pedro Armando Manjarrez Dominguez, 101 Peter Thein Ave Unit D, Belgium, WI 53004-9520 Ph: (479) 249-5624

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Pedro Armando Manjarrez Dominguez, - Speech-Language Pathologist in Belgium, WI