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Individual

SAMUEL GETACHEW

Active
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Individual

SAMUEL GETACHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35059976
OH
208100000X
Physical Medicine & Rehabilitation Physician
35059976
OH
208D00000X
General Practice Physician
35059976G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0838259
OH
Enumeration date
02/14/2006
Last updated
01/07/2021
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