Teketel Hansewo

NPI #1053942508 in Lincoln Park, Michigan

Provider Information

NPI Number: 1053942508
Entity Type: Individual
Name: Teketel Hansewo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 3, 2020
Last Updated: Feb 3, 2020

Practice Location

Address: 2400 FORT ST
City: Lincoln Park
State: Michigan
ZIP Code: 48146-2496
Phone: (313) 381-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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