Individual
DR. MICHAEL PETER KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-8700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4821
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298039800
—
MN
Enumeration date
02/07/2007
Last updated
09/21/2023
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