Individual
MELISSA RENEE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6071 W OUTER DR, DEPARTMENT OF SURGERY, DETROIT, MI 48235-2624
(313) 966-3300
(313) 966-4773
Mailing address
6071 W OUTER DR, DEPARTMENT OF SURGERY, DETROIT, MI 48235-2624
(313) 966-3300
(313) 966-4773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004036
MI
Other
Enumeration date
02/28/2006
Last updated
09/23/2013
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