Organization
SHALEM HEALING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GELFMAN (CLINIC DIRECTOR)
(414) 640-5433
Entity
Organization
Contact information
Practice address
3338 N DOCTOR MARTIN LUTHER KING JR. DRIVE, MILWAUKEE, WI 53212
(414) 640-5433
Mailing address
3338 N DOCTOR MARTIN LUTHER KING JR. DRIVE, MILWAUKEE, WI 53212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39909600
—
WI
Enumeration date
07/20/2011
Last updated
12/06/2023
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