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Organization
WELLIFYCARE MEDICAL S.C.
Active
Organization
WELLIFYCARE MEDICAL S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREJE TEFERA SIYUM MD (PRESIDENT)
(262) 261-8880
Entity
Organization
Contact information
Practice address
18200 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-1446
(262) 261-8880
Mailing address
W193N4932 TEA TREE DR, MENOMONEE FALLS, WI 53051-1644
(262) 261-8880
Taxonomy
Speciality
Code
Description
License number
State
207QB0505X
Diabetology (Internal Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
NULL
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RH0005X
Hypertension Specialist Physician
—
NULL
207RH0005X
Hypertension Specialist Physician
—
—
207RP1002X
Physician Nutrition Specialist (Internal Medicine)
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2083C0008X
Clinical Informatics Physician
—
NULL
2083C0008X
Clinical Informatics Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
04/27/2026
Last updated
10/06/2026
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