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Organization

MICHAEL W KELBER MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL WILFORD KELBER MD (OWNER/PRESIDENT)
(503) 391-6615
Entity
Organization

Contact information

Practice address
2365 GREAR ST NE, SALEM, OR 97301-2747
(503) 391-6615
(503) 391-0471
Mailing address
2365 GREAR ST NE, SALEM, OR 97301-2747
(503) 391-6615
(503) 391-0471

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10647
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018796
OR
Enumeration date
12/17/2007
Last updated
12/17/2007
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