Ergando, Tesfatsiyon Mammo

Ergando, Tesfatsiyon Mammo is an sole proprietor health care provider with primary practice located at 420 Delaware Street Se, Mmc 284 , Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ergando, Tesfatsiyon Mammo can be contacted via phone (612) 626-5454.

Contact Information

Primary practice address
420 Delaware Street Se, Mmc 284 Minneapolis MN 55455
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 72769 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 72769 Minnesota

Profile Details

NPI number 1043884224
LBN Legal business name Ergando, Tesfatsiyon Mammo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2021
Last updated Jun 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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