Individual
TAMIRAT EDIE FEKENE
Active
Individual
TAMIRAT EDIE FEKENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018012258
MO
207R00000X
Internal Medicine Physician
Primary
MD2022-0215
NM
Other
Enumeration date
06/11/2018
Last updated
03/13/2024
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