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Individual

DR. GIRMA MAKONNEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-5000
Mailing address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-5000

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13718
ND
207T00000X
Neurological Surgery Physician
57.012189
OH

Other

Enumeration date
05/17/2007
Last updated
05/05/2017
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