Individual
DR. HELLINA TEGAGNE DESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5502 W BROADWAY AVE, CRYSTAL, MN 55428-3508
(763) 287-6500
(763) 287-6544
Mailing address
1151 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-6324
(612) 706-4500
(612) 781-6830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47888
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716548
—
IA
01
—
1032683
PREFERRED ONE
MN
01
—
106789
UCARE
MN
05
—
43526400
—
WI
01
—
66-08890
MEDICA CHOICE & PRIMARY
MN
05
—
686112100
—
MN
01
—
HP58502
HEALTHPARTNERS
MN
Enumeration date
06/27/2006
Last updated
04/05/2012
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