Individual
DR. YIHENEW ALEM NEGATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0436736
KS
207R00000X
Internal Medicine Physician
35123512
OH
207RP1001X
Pulmonary Disease Physician
Primary
61374
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077427
—
WI
Enumeration date
06/24/2010
Last updated
05/01/2024
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