Provider Demographics
NPI:1922992387
Name:ESSICH, DOMINIC ANTHONY (AUD)
Entity type:Individual
Prefix:DR
First Name:DOMINIC
Middle Name:ANTHONY
Last Name:ESSICH
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 UNION ST
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-1644
Mailing Address - Country:US
Mailing Address - Phone:616-755-5666
Mailing Address - Fax:
Practice Address - Street 1:6850 N HAGGERTY RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3577
Practice Address - Country:US
Practice Address - Phone:734-386-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601001202231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist