Individual
YETMWORK BERHANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M,D
Contact information
Practice address
9875 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
(763) 581-1000
Mailing address
9875 HOSPITAL DR, MAPLE GROVE, MN 55369-4648
(763) 581-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54899
MN
Other
Enumeration date
08/11/2010
Last updated
12/28/2012
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