Individual
DR. MARK ALVIN KELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12129 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8298
(515) 400-3550
(515) 400-3551
Mailing address
12129 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8298
(515) 400-3550
(515) 400-3551
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD-35053
IA
Other
Enumeration date
09/14/2005
Last updated
10/28/2024
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