Individual
ERIKA KETTELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.A.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2811
Mailing address
124 15TH ST SW, ALBUQUERQUE, NM 87104-1100
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
IL
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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