Dr Michael J Kellum, MD | |
W9575 Homburg Lane, Whitewater, WI 53190 | |
(262) 473-0961 | |
Not Available |
Full Name | Dr Michael J Kellum |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | W9575 Homburg Lane, Whitewater, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164599387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 36138-020 (Wisconsin) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 36138-020 (Wisconsin) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Kellum, MD W9675 Homburg Ln, Whitewater, WI 53190-3702 Ph: (262) 473-0961 | Dr Michael J Kellum, MD W9575 Homburg Lane, Whitewater, WI 53190 Ph: (262) 473-0961 |
James J Tydrich, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 351 S Wisconsin St Unit 4, Whitewater, WI 53190 Phone: 262-472-0379 | |
Sean P.l.p. Alwin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1305 W Main St, Whitewater, WI 53190 Phone: 262-473-4548 Fax: 262-472-7691 |