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Individual

MESFIN TESHOME MITIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1035 BELLEVUE AVE, SUITE 500, SAINT LOUIS, MO 63117-1854
(314) 925-4744
(314) 925-4764
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2008013709
MO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2012011854
MO

Other

Enumeration date
06/25/2008
Last updated
11/23/2020
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