MIKIYAS FITAWOK

MADISON, WI
NPI1447823075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: WI  193-17)
Enumeration Date2021-07-21
Last Update Date2023-12-11
Business Address
MIKIYAS FITAWOK CAA
302 SAMUEL DR APT 218
MADISON, WI 53717-2216
Phone number: 202-629-6468
Mailing Address
MIKIYAS FITAWOK CAA
302 SAMUEL DR APT 218
MADISON, WI 53717-2216
Phone number: 202-629-6468