person
Matthew A Ketelaar, MD
Diagnostic Radiology Physician in Davenport, Iowa
NPI 1336109180

Matthew A Ketelaar is a Diagnostic Radiology Physician based in Davenport, IA and is specialized in Diagnostic Radiology. Matthew A Ketelaar practices in Davenport, IA and has the professional credentials of MD. The NPI Number for Matthew A Ketelaar is 1336109180 and holds a License No. 28007 (Iowa).

The current practice location address for Matthew A Ketelaar is 1970 E 53Rd St, Davenport, IA and can be reached out via phone at 563-359-3949. You can also correspond with Matthew A Ketelaar through the mailing address at 1970 E 53RD ST, DAVENPORT, IA - 52807-2710 (mailing address contact number: 563-359-3949).

Location: 1970 E 53Rd St, Davenport, IA, 52807-2710
person
Provider Profile Details
NPI Number
1336109180
Provider Name
Matthew A Ketelaar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1970 E 53Rd St, Davenport, IA, 52807-2710
Phone Number
563-359-3949
Fax Number
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300034141 01 RR MDC RGPCSC
5096792 05 IA
2096792 05 IA
300132302 01 RR MDC RGIC LLC
32281 01 BCBS IA RGPCSC
06050 01 BCBS IA RGIC LLC
institution
Provider Business Practice Location Address Details
Address
1970 E 53Rd St
City
State
Zip
52807-2710
Phone Number
563-359-3949
Fax Number
person
Provider Business Mailing Address Details
Address
1970 E 53Rd St
City
State
Zip
52807-2710
Phone Number
563-359-3949
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
28007 (Iowa)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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