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Individual

YOHANNES BAYISSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903
(567) 241-7000
(567) 241-7523
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125057373
IL
207R00000X
Internal Medicine Physician
41573
IA
207RC0000X
Cardiovascular Disease Physician
036.133511
IL
207RI0011X
Interventional Cardiology Physician
Primary
35.136409
OH

Other

Enumeration date
09/07/2010
Last updated
07/01/2019
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