| James M. Bury, Md, Ltd. | |
|
7137 236th Ave Ste 103 Salem WI 53168-8975 | |
| (262) 843-4422 | |
| (262) 843-1166 |
| Full Name | James M. Bury, Md, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 7137 236th Ave Ste 103, Salem, Wisconsin |
| Authorized Official Name and Position | James Bury (PRESIDENT) |
| Authorized Official Contact | 2628433064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James M. Bury, Md, Ltd. 7137 236th Ave Ste 103 Salem WI 53168-8975 Ph: (262) 843-4422 | James M. Bury, Md, Ltd. 7137 236th Ave Ste 103 Salem WI 53168-8975 Ph: (262) 843-4422 |
| NPI Number | 1053507624 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 11/20/2009 |
| Medicare PECOS PAC ID | 0143317099 |
|---|---|
| Medicare Enrollment ID | O20071025000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053507624 | NPI | - | NPPES |
| 21314400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James M Bury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467486514 PECOS PAC ID: 8426145376 Enrollment ID: I20071025000058 |
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