Individual
MICHAEL DANIEL KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 5TH AVE, TWO HARBORS, MN 55616-1422
(218) 409-2531
Mailing address
430 5TH AVE, TWO HARBORS, MN 55616-1422
(218) 409-2531
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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