Individual
HINTSA TEWOLDEMEDIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 MESSIMER DR, NEWARK, OH 43055-1842
(740) 522-5641
(740) 522-5642
Mailing address
42 MESSIMER DR, NEWARK, OH 43055-1842
(740) 522-5641
(740) 522-5642
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35081394T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2521775
—
OH
Enumeration date
05/10/2006
Last updated
07/09/2007
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