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Individual
DR. MARK WALTER KEILBARTH
Active
Individual
DR. MARK WALTER KEILBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
Primary
8139021
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
05/09/2025
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