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Kidanu Birhanu Md Sc
Clinic/Center in Dyer, Indiana
NPI 1619288339

Kidanu Birhanu Md Sc is a Clinic/Center based in Dyer, IN. Kidanu Birhanu Md Sc practices in Dyer, IN. The NPI Number for Kidanu Birhanu Md Sc is 1619288339 and holds a License No. 01066132A (Indiana).

The current practice location address for Kidanu Birhanu Md Sc is 24 Joliet St, Dyer, IN and can be reached out via phone at 219-852-2518 and via fax at 219-864-2156. You can also correspond with Kidanu Birhanu Md Sc through the mailing address at PO BOX 394, DYER, IN - 46311-0394 (mailing address contact number: 708-334-2352).

Location: 24 Joliet St, Dyer, IN, 46311-0394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619288339
Provider Name
Kidanu Birhanu Md Sc
Credential
Provider Entity Type
Organization
Address
24 Joliet St, Dyer, IN, 46311-0394
Phone Number
219-852-2518
Fax Number
219-864-2156
Provider Enumeration Date
06/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24 Joliet St
City
Dyer
State
Indiana
Zip
46311-1705
Phone Number
219-852-2518
Fax Number
219-864-2156
person
Provider Business Mailing Address Details
Address
Po Box 394
City
Dyer
State
Indiana
Zip
46311-0394
Phone Number
708-334-2352
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
01066132A (Indiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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