Individual
JAMES S KELLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5100 GAMBLE DR, MAIL STOP 31200A STE 100, SAINT LOUIS PARK, MN 55416-1582
(952) 593-8777
(952) 595-6408
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2044
MN
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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