Individual
MEKBIB GEBREKIDAN ONKISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7427
(414) 219-6078
Mailing address
3333 GALE PL S APT 19, SEATTLE, WA 98144-6940
(206) 434-9184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74603
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203560
—
WI
Enumeration date
03/21/2019
Last updated
09/01/2022
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