Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shalom Medical Inc

Organization Infectious Disease Physician · NPI 1417318635

Shalom Medical Inc is an Infectious Disease Physician in De Pere, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

977 Green Ridge Dr
De Pere, WI 54115-7656
Phone: (718) 530-8357
Fax: (920) 328-9050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X

Record details

NPI number1417318635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adetujni Adejumo — Owner · (718) 530-8357
NPI enumeratedMarch 15, 2016
Last updated in NPPESMarch 15, 2016
Mailing address977 Green Ridge Dr, De Pere, WI 54115-7656