Individual
DR. MENILIK MERID ASFAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-4000
Mailing address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61408033
WA
208M00000X
Hospitalist Physician
62640
TN
208M00000X
Hospitalist Physician
Primary
MD61408033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2236202
—
WA
Enumeration date
05/15/2018
Last updated
06/04/2025
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