Individual
TADESSE BEYENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150
(734) 793-6140
(734) 402-0254
Mailing address
4572 RANCH LN, BLOOMFIELD HILLS, MI 48302-2440
(773) 209-3378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092774
MI
207RN0300X
Nephrology Physician
Primary
4301092774
MI
Other
Enumeration date
03/13/2009
Last updated
05/15/2018
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