Individual
MR. ALBERT EDWARD KEIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1905 5TH ST, MONROE, WI 53566-1545
(608) 329-6601
(608) 329-6604
Mailing address
N2098 COUNTY. RD. K, MONROE, WI 53566
(608) 328-1318
(608) 329-6604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4460-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41811200
—
WI
Enumeration date
05/14/2007
Last updated
07/08/2007
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