Michael Ketelaar M. D.

NPI 1487705935 - Surgery - 208600000X

NPI Details
NPI 1487705935
Gender Male
Enumeration Date 01/12/2007
Last Updated 06/17/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1231 W VINE ST
LODI CA, 95240-5109, US
Phone (209) 368-7121
Fax (209) 368-5750
Business Location
1231 W VINE ST
LODI CA, 95240-5109, US
Phone (209) 368-7121
Fax (209) 368-5750
Toxanomy
Taxonomy Code 208600000X
License State California
License Number C39467
Remove 1487705935 NPI Number
 

According to our database, Dr. Michael Ketelaar M. D. NPI is 1487705935, taxonomy code is 208600000X and license number is C39467, license state is located at California. Michael Ketelaar M. D. physically located at 1231 W Vine St, Lodi CA, 95240-5109. NPI Number Michael Ketelaar M. D. has the Individual type.

Sponsored links

1487705935 NPI number is provided on an as is basis without warranty of any kind. 1487705935 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Ketelaar M. D. are for informational purposes only.