Individual
PAUL S KELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD STE 248, BEAUMONT CHRONIC DISEASE MANAGEMENT CLINIC, ROYAL OAK, MI 48073-6770
(248) 551-1515
(248) 551-1516
Mailing address
130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 48084-1744
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301046818
MI
207RN0300X
Nephrology Physician
45019
WI
Other
Enumeration date
02/28/2006
Last updated
10/15/2024
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