Individual
MR. AMANUEL Z GHEBREMEDHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3646 WISH AVE, INDIANAPOLIS, IN 46268-3690
(317) 332-2096
Mailing address
3646 WISH AVE, INDIANAPOLIS, IN 46268-3690
(317) 332-2096
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/08/2023
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