Organization
SHALOM MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADETUJNI ADEJUMO (OWNER)
(718) 530-8357
Entity
Organization
Contact information
Practice address
977 GREEN RIDGE DR, DE PERE, WI 54115-7656
(718) 530-8357
(920) 328-9050
Mailing address
977 GREEN RIDGE DR, DE PERE, WI 54115-7656
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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