Individual
MICHAEL TESFAYE HAILEMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(615) 479-1543
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 452-3459
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0099481
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2019
Last updated
09/04/2024
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