Individual
ERMIAS TESSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8200
Mailing address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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