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Individual

DR. THEODORE EDWARD KELBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3271 CLEAR VISTA CT NE, GRAND RAPIDS, MI 49525-9477
(616) 267-7125
(616) 267-9593
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301098634
MI
208000000X
Pediatrics Physician
4301098634
MI

Other

Enumeration date
06/16/2011
Last updated
02/24/2021
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