Shalom Medical Inc | |
977 Green Ridge Dr De Pere WI 54115-7656 | |
(718) 530-8357 | |
(920) 328-9050 |
Full Name | Shalom Medical Inc |
---|---|
Speciality | Internal Medicine |
Location | 977 Green Ridge Dr, De Pere, Wisconsin |
Authorized Official Name and Position | Adetujni Adejumo (OWNER) |
Authorized Official Contact | 7185308357 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shalom Medical Inc 977 Green Ridge Dr De Pere WI 54115-7656 Ph: () - | Shalom Medical Inc 977 Green Ridge Dr De Pere WI 54115-7656 Ph: (718) 530-8357 |
NPI Number | 1417318635 |
---|---|
Provider Enumeration Date | 03/15/2016 |
Last Update Date | 03/15/2016 |
Medicare PECOS PAC ID | 2466759279 |
---|---|
Medicare Enrollment ID | O20160322001861 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417318635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Adetunji A Adejumo |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1942532528 PECOS PAC ID: 9638294986 Enrollment ID: I20100910000295 |
Fmc Depere West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Lawrence Dr, De Pere, WI 54115 Phone: 920-983-3220 | |
St Gianna Molla Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Lawrence Dr Ste 100, De Pere, WI 54115 Phone: 920-605-3115 Fax: 920-486-6826 | |
Department Of Health And Wellness Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Grant St, De Pere, WI 54115 Phone: 920-403-3266 | |
Energize Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Sand Acres Dr Ste 2a, De Pere, WI 54115 Phone: 920-819-2657 | |
Unity Hospice And Palliative Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2366 Oak Ridge Cir, De Pere, WI 54115 Phone: 920-338-1111 Fax: 920-339-6795 | |
Mobile Therapeutics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7821 Altmeyer Dr, De Pere, WI 54115 Phone: 920-470-0333 |