Kidanu Birhanu MD SC
Kidanu Birhanu MD SC is a Clinic/Center in Dyer, Indiana. Licensed in Indiana. Registered with an NPI since 2010.
- Licensed in
- IN
- In the registry since
- 2010
Practice location Address checks out
24 Joliet St Ste 302Dyer, IN 46311-1705
Phone: (219) 852-2518
Fax: (219) 864-2156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 01066132A (IN) |
|---|
Record details
| NPI number | 1619288339 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kidanu Birhanu — Owner · (708) 334-2352 |
| NPI enumerated | June 28, 2010 |
| Last updated in NPPES | June 28, 2010 |
| Mailing address | Po Box 394, Dyer, IN 46311-0394 |