Individual
DAVID KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9293
Mailing address
1108 S VAN DYKE RD, P.O. BOX 312, BAD AXE, MI 48413-9615
(989) 269-9293
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802059138
MI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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