Individual
YOHANNES GEBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1821 UNIVERSITY AVE W, STE S206, SAINT PAUL, MN 55104-2893
(651) 644-2273
(651) 659-2273
Mailing address
1821 UNIVERSITY AVE W, STE S206, SAINT PAUL, MN 55104-2893
(651) 644-2273
(651) 659-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40937
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074818800
—
MN
Enumeration date
06/23/2005
Last updated
06/28/2023
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