Individual
DR. MICHELE JANINE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8135 CALUMET AVE, MUNSTER, IN 46321-1701
(219) 513-2000
(219) 513-2001
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4284
(317) 865-8355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004192A
IN
207Q00000X
Family Medicine Physician
34006200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005645
—
OH
01
—
KE-0807822
PIN #
OH
Enumeration date
10/16/2006
Last updated
10/09/2020
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