It came from the doctor's phone. I suspect there was a miscommunication somewhere.
I've only done "polite" replies if there's clear innocence. One was to a teenager trying to guess email addresses for people involved in a college program they wanted to attend. Another was a Canadian regional employment authority trying to collect back wages from a deadbeat employer.
But someone uses my email address at a repair shop, salon, ect? Ignore. Someone puts my email address into a group discussion? Spam.
I also own my own domain. (legal name)@gmail.com sat idle for years until I found that it's easier to say "(legal name)@gmail.com" instead of ??????@(legal name).com Then I switched.