Individual
YIMENU W. DAGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
(414) 219-7402
Mailing address
8821 W OKLAHOMA AVE APT 104, MILWAUKEE, WI 53227-4567
(414) 366-6300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62798
WI
208M00000X
Hospitalist Physician
Primary
62798
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056466
—
WI
Enumeration date
03/26/2013
Last updated
02/29/2024
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