Individual
DR. DOUGLAS JAMES KEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Mailing address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2007008573
MO
207X00000X
Orthopaedic Surgery Physician
Primary
53653-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598911257
—
WI
Enumeration date
08/13/2008
Last updated
06/17/2021
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