Thomas A Keller MD

NPI 1992720569 - Radiology - 2085R0202X

NPI Details
NPI 1992720569
Gender Male
Enumeration Date 07/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2300 WESTERN AVENUE
MANITOWOC WI, 54221-1450, US
Phone (920) 684-2255
Fax
Business Location
PO BOX 1450
MANITOWOC WI, 54221-1450, US
Phone (920) 684-5560
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Wisconsin
License Number 020412
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According to our database, Thomas A Keller MD NPI is 1992720569, taxonomy code is 2085R0202X and license number is 020412, license state is located at Wisconsin. Thomas A Keller MD physically located at 2300 Western Avenue, Manitowoc WI, 54221-1450. NPI Number Thomas A Keller MD has the Individual type.

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1992720569 NPI number is provided on an as is basis without warranty of any kind. 1992720569 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas A Keller MD are for informational purposes only.