institution
Michael I Keller M.d. Inc
Specialist in San Diego, California
NPI 1861593063

Michael I Keller M.d. Inc is a Specialist based in San Diego, CA. Michael I Keller M.d. Inc practices in San Diego, CA. The NPI Number for Michael I Keller M.d. Inc is 1861593063 and holds a License No. G28715 (California).

The current practice location address for Michael I Keller M.d. Inc is 3633 Camino Del Rio S, San Diego, CA and can be reached out via phone at 619-287-9730 and via fax at 619-287-4516.

Location: 3633 Camino Del Rio S, San Diego, CA, 92108-4011
institution
Provider Profile Details
NPI Number
1861593063
Provider Name
Michael I Keller M.d. Inc
Credential
Provider Entity Type
Organization
Address
3633 Camino Del Rio S, San Diego, CA, 92108-4011
Phone Number
619-287-9730
Fax Number
619-287-4516
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GR0104521 05 CA
GR0104522 05 CA
GR0104523 05 CA
GR0104520 05 CA
institution
Provider Business Practice Location Address Details
Address
3633 Camino Del Rio S
City
State
Zip
92108-4011
Phone Number
619-287-9730
Fax Number
619-287-4516
person
Provider Business Mailing Address Details
Address
3633 Camino Del Rio S
City
State
Zip
92108-4011
Phone Number
619-287-9730
Fax Number
619-287-4516
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G28715 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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