Individual
DR. PATRICK RAYMOND KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2400
(414) 235-4766
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-2400
(414) 235-4766
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41469-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34166900
—
WI
Enumeration date
07/21/2006
Last updated
12/14/2012
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