Individual
GETACHEW T HABTEMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8565 SAVANNA OAKS LN, WOODBURY, MN 55125-9611
(763) 516-5547
Mailing address
8565 SAVANNA OAKS LN, WOODBURY, MN 55125-9611
(763) 516-5547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2473325
MN
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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