ADDIS MEKONNEN

CROWN POINT, IN
NPI1457001562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: IN  01100159A)
Additional Taxonomies208M00000X Hospitalist
(Licence: IL  036.174020)
207R00000X Internal Medicine
(Licence: IN  01100159A)
Enumeration Date2022-03-24
Last Update Date2026-08-21
Business Address
ADDIS MEKONNEN
12750 SAINT FRANCIS DR
CROWN POINT, IN 46307-0264
Phone number: 219-852-1524
Mailing Address
ADDIS MEKONNEN
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800