Individual
DR. DAVID M KELLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6785 MYERS LAKE AVE NE STE B, ROCKFORD, MI 49341-7415
(616) 884-5191
(616) 884-5192
Mailing address
6785 MYERS LAKE AVE NE STE B, ROCKFORD, MI 49341-7415
(616) 884-5191
(616) 884-5192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026809
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
10/11/2022
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