Individual
DR. WONDWOSEN DEMISSIE TADESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(301) 618-2273
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35527
WV
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
04/01/2020
Last updated
08/12/2025
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