Kidanu Birhanu MD Sc

NPI #1619288339 in Dyer, Indiana

Provider Information

NPI Number
1619288339
Entity Type
Organization
Organization Name
Kidanu Birhanu MD Sc
Primary Specialty
Clinic/Center
Enumeration Date
Jun 28, 2010
Last Updated
Jun 28, 2010

Practice Location

Address
24 JOLIET ST
Address 2
SUITE 302
City
Dyer
State
Indiana
ZIP Code
46311-1705
Phone
(219) 852-2518

Authorized Official

Name
KIDANU BIRHANU, MD
Title
OWNER
Phone
(708) 334-2352

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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