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Organization

DAVID P. KELSEY, M.D. KELSEY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID P KELSEY MD (OWNER)
(269) 469-8484
Entity
Organization

Contact information

Practice address
5 W MADISON AVE, NEW BUFFALO, MI 49117-1734
(269) 469-8484
Mailing address
5 W MADISON AVE, NEW BUFFALO, MI 49117-1734
(269) 469-8484

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MI
207Q00000X
Family Medicine Physician
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5177828
MI
Enumeration date
05/25/2007
Last updated
06/16/2008
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