Individual
MARY MARGARET KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 413, MILWAUKEE, WI 53215-3660
(414) 383-7744
(414) 383-8089
Mailing address
2514 S 102ND ST, SUITE 120, WEST ALLIS, WI 53227-2142
(414) 777-5200
(414) 777-5210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43985900
—
WI
Enumeration date
07/24/2006
Last updated
12/09/2019
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