Individual
MRS. CONNIE SUE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5038 SOUTHPOINTE PKWY, MONROE, MI 48161-4540
(734) 243-6943
Mailing address
5038 SOUTHPOINTE PKWY, MONROE, MI 48161-4540
(734) 243-6943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704218073
MI
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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