Organization
WVP MEDICAL GROUP, LLC
Active
Parent organization
WVP MEDICAL GROUP, LLC
Other names
Michael W Kelber, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
WVP MEDICAL GROUP, LLC
Authorized official
DEAN ANDRETTA (CFO)
(503) 371-7701
Entity
Organization
Contact information
Practice address
2365 GREAR ST NE, SALEM, OR 97301-2747
(503) 391-6615
Mailing address
2365 GREAR ST NE, SALEM, OR 97301-2747
(503) 391-6615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10647
OR
Other
Enumeration date
11/01/2012
Last updated
10/02/2014
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