Individual provider · NPI-1

Mesfin Etana Abdissa, MD

Internal Medicine · Milwaukee, WI

NPI number1376579417
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1376579417
Entity type
Individual (NPI-1)
Name
Mesfin Etana Abdissa
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 23, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine48957WIYes

Practice location

6901 W Edgerton Ave
Milwaukee, WI 53220-4420

Phone 414-423-5179

Mailing address

1000 Devonshire Ln Apt A116
A116
Bloomington, MN 55431-5032

Phone 240-893-7484

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Milwaukee, WI