Individual
DR. CRAIG ALAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 BAY PARK SQUARE, GREEN BAY, WI 54304-5104
(920) 499-3511
Mailing address
301 BAY PARK SQUARE, GREEN BAY, WI 54304-5104
(920) 499-3511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3221-35
WI
Other
Enumeration date
07/01/2011
Last updated
07/12/2011
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