Individual
ENEYEW TILAHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17489 DODD BLVD, LAKEVILLE, MN 55044-6506
(952) 428-1020
(952) 428-1025
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79207
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/01/2021
Last updated
05/28/2025
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