Individual
ANTENEH TESEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 S UNION AVE, TACOMA, WA 98405-1702
(253) 459-6200
Mailing address
27835 242ND PL SE, MAPLE VALLEY, WA 98038-3355
(408) 605-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60563
TN
207R00000X
Internal Medicine Physician
61260762
WA
208M00000X
Hospitalist Physician
Primary
61260762
WA
Other
Enumeration date
03/28/2017
Last updated
03/24/2023
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