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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
4931 S 27TH ST, GREENFIELD, WI 53221-2652
(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
207RB0002X
Obesity Medicine (Internal Medicine) Physician
207RH0005X
Hypertension Specialist Physician
207RP1002X
Physician Nutrition Specialist (Internal Medicine)
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
2083C0008X
Clinical Informatics Physician
208M00000X
Hospitalist Physician

Other

Enumeration date
04/27/2026
Last updated
05/17/2026
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