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1164085031
TAMIRU ERTIRO TUMDEDO
MANITOWOC, WI
NPI
1164085031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 82466)
Enumeration Date
2019-04-17
Last Update Date
2023-08-22
Business Address
TAMIRU ERTIRO TUMDEDO MD
2300 WESTERN AVE
MANITOWOC, WI 54220-3712
Phone number: 920-320-2011
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Mailing Address
TAMIRU ERTIRO TUMDEDO MD
2300 WESTERN AVE
MANITOWOC, WI 54220-3712
Phone number: 651-808-1905
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