| Elderberry Health Foundation | |
|
1207 Delaware Ave #1904 Wilmington DE 19806 | |
| (314) 788-4620 | |
| Not Available |
| Full Name | Elderberry Health Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 1207 Delaware Ave #1904, Wilmington, Delaware |
| Authorized Official Name and Position | Landon Wiedenman (CEO) |
| Authorized Official Contact | 3147884620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elderberry Health Foundation 15455 Manchester Rd #3313 Ballwin MO 63022-5049 Ph: () - | Elderberry Health Foundation 1207 Delaware Ave #1904 Wilmington DE 19806 Ph: (314) 788-4620 |
| NPI Number | 1376258467 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376258467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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