Individual
AMANUEL YOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 CLAYTON RD, DEPARTMENT OF INTERNAL MEDICINE, SAINT LOUIS, MO 63117
(314) 768-8778
Mailing address
6420 CLAYTON RD, DEPARTMENT OF INTERNAL MEDICINE, SAINT LOUIS, MO 63117-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017018227
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
07/11/2018
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