Individual
DR. YESHITILA GUGSA MENGESHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
2725 DEL RIO DRIVE, BISMARCK, ND 58503-0269
(347) 419-2573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13182
ND
207R00000X
Internal Medicine Physician
2010-00014
NC
207RG0100X
Gastroenterology Physician
Primary
13182
ND
Other
Enumeration date
01/28/2010
Last updated
04/13/2021
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