Individual
DANIEL WELDETENSAE GEBRESILASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3584 PENNSWOOD CT, PLAINFIELD, IN 46168-7878
(463) 999-4054
Mailing address
3584 PENNSWOOD CT, PLAINFIELD, IN 46168-7878
(463) 999-4054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A28206125
IN
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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