Individual
DEREJE BEYENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 15TH STREET NORTH, SAINT CLOUD, MN 56303
(320) 251-2700
Mailing address
1406 15TH STREET NORTH, SAINT CLOUD, MN 56303
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
4049
MN
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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