Individual
DR. STEVEN L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2414
(952) 993-8011
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
22182
MN
Other
Enumeration date
12/09/2005
Last updated
03/02/2012
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