Individual provider · Type 1 NPI

Birukti Gebreyohannes Habtezgi, MD

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1073369492 Active

Practice location

945 N 12th St
Milwaukee, WI 53233-1305

Call (414) 219-7136 Map

Fax (414) 219-6264

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X100751-851 (WI)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073369492

Birukti Gebreyohannes Habtezgi, MD's National Provider Identifier is 1073369492, issued on Apr 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 23, 2024.