Individual
TSEGA NEGASSI TESFAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2177 AUBURN RD, SHELBY TOWNSHIP, MI 48317-3813
(586) 731-7520
Mailing address
2177 AUBURN RD, SHELBY TOWNSHIP, MI 48317-3813
(313) 717-7271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704249622
MI
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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