Individual
DR. WONDWOSSEN YILMA DERERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 934-4000
Mailing address
5102 WINDBREAK DR, FREDERICKSBURG, VA 22407-9323
(857) 998-8902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101254930
VA
207R00000X
Internal Medicine Physician
35.130138
OH
Other
Enumeration date
06/23/2010
Last updated
10/04/2021
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