Individual
DR. AYALEW TEGEGN MULUNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6440
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
61698
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61698
—
WI
Enumeration date
03/22/2012
Last updated
08/28/2024
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