Individual
FESSEHAZION W IYASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4461 N 89TH ST, MILWAUKEE, WI 53225-5020
(414) 837-7448
Mailing address
4461 N 89TH ST, MILWAUKEE, WI 53225-5020
(414) 837-7448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164285-30
WI
Other
Enumeration date
03/30/2013
Last updated
03/30/2013
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