Individual
BIRUKTI GEBREYOHANNES HABTEZGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7136
(414) 219-6264
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7136
(414) 219-6264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
100751-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
06/23/2024
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