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Contact Information

TEMESGEN GESSISA
11895 32ND ST N
LAKE ELMO, MN55042-2201
 Phone: 612-332-8544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for TEMESGEN GESSISA · (Male)

NPI Number 1255139366
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2025
Last updated 03/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 2485073
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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