Individual
BISRAT KIDANE GIRMAY WOLDEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5730 PACKARD AVE STE 500, MARYSVILLE, CA 95901-7119
(530) 749-3242
Mailing address
5730 PACKARD AVE STE 500, MARYSVILLE, CA 95901-7119
(760) 877-9546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A198867
CA
Other
Enumeration date
06/19/2019
Last updated
09/10/2024
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