Individual provider · Type 1 NPI

Kokob Birhane Mezgebo, MD

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

NPI number 1376486662 Active

Practice location

9150 Watertown Plank Rd
Wauwatosa, WI 53226-3508

Call (414) 266-6800 Map

Specialties and licenses

TaxonomyCodeLicense
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 1376486662

Kokob Birhane Mezgebo, MD's National Provider Identifier is 1376486662, issued on Apr 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wauwatosa, WI. The record was last updated on Apr 11, 2026.