Individual
TAMIRU ERTIRO TUMDEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2011
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(651) 808-1905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82466
WI
Other
Enumeration date
04/17/2019
Last updated
08/22/2023
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