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NPI Code Detail

MEDICARE: HERMELA GELAYE

MEDICARE: HERMELA GELAYE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician100663-851WI

General Provider Information

NPI Number : 1508610759
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERMELA GELAYE
Provider Business Mailing Address
First Line : 3427 W COLONY DR
Second Line :
City : GREENFIELD
State : WI
Zip : 53221-2112
Country : US
Telephone Number : 901-690-6213
Fax Number :
Provider Business Practice Location Address
First Line : 945 N 12TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1305
Country : US
Telephone Number : 414-219-7136
Fax Number : 414-219-6264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 02/16/2026

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Directions to “ HERMELA GELAYE ” Practice Location

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