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Individual

DR. MICHAEL E. KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.D.

Contact information

Practice address
3200 MIDDLE DR, COLUMBUS, IN 47203-4426
(812) 372-3636
(812) 378-3636
Mailing address
3200 MIDDLE DR, COLUMBUS, IN 47203-4426
(812) 372-3636
(812) 378-3636

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12008103B
IN

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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