Individual
EUGENE E KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
07155
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190003010
RAILROAD MEDICARE
MN
05
—
33825000
—
WI
05
—
738816100
—
MN
Enumeration date
12/21/2005
Last updated
11/06/2008
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