Individual
TERRENCE JOSEPH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
901 3RD ST N, WAITE PARK, MN 56387-1964
(320) 217-8480
(320) 217-8490
Mailing address
901 3RD ST N, WAITE PARK, MN 56387-1964
(320) 217-8480
(320) 217-8490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11815
MN
Other
Enumeration date
02/17/2010
Last updated
09/10/2020
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