Organization
GHEBRU WOLDEMICHAEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHEBRU W WOLDEMICHAEL M.D. (OWNER)
(928) 317-9562
Entity
Organization
Contact information
Practice address
2851 S AVENUE B, SUITE 2601, YUMA, AZ 85364-7726
(928) 317-9562
(928) 726-1588
Mailing address
2851 S AVENUE B, SUITE 2601, YUMA, AZ 85364-7726
(928) 317-9562
(928) 726-1588
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
AW3117454
AZ
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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