David Aloysius Ketelaar M.D.

NPI 1073543542 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073543542
Gender Male
Enumeration Date 07/03/2006
Last Updated 09/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1400 E CHURCH ST
SANTA MARIA CA, 93454-5906, US
Phone (805) 739-3200
Fax (805) 739-3064
Business Location
4401 W MEMORIAL ROAD
SUITE 121
OKLAHOMA CITY OK, 73134-1722, US
Phone (405) 751-4664
Fax (405) 751-4561
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number G77236
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According to our database, Dr. David Aloysius Ketelaar M.D. NPI is 1073543542, taxonomy code is 207P00000X and license number is G77236, license state is located at California. David Aloysius Ketelaar M.D. physically located at 1400 E Church St, Santa Maria CA, 93454-5906. NPI Number David Aloysius Ketelaar M.D. has the Individual type.

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1073543542 NPI number is provided on an as is basis without warranty of any kind. 1073543542 is maintained by the National Plan & Provider Enumeration System. The contents of David Aloysius Ketelaar M.D. are for informational purposes only.