institution
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.

Location: 24 Joliet St, Dyer, IN, 46311-0394
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
State
Zip
46311-1705
Phone Number
219-852-2518
Fax Number
219-864-2156
person
Provider Business Mailing Address Details
Address
24 Joliet St
City
State
Zip
46311-1705
Phone Number
219-852-2518
Fax Number
219-864-2156
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
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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