MICHAEL KETELAAR

LODI, CA
NPI1487705935
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: CA  C39467)
Enumeration Date2007-01-12
Last Update Date2009-06-17
Business Address
DR. MICHAEL KETELAAR M. D.
1231 W VINE ST
LODI, CA 95240-5109
Phone number: 209-368-7121
Mailing Address
DR. MICHAEL KETELAAR M. D.
1231 W VINE ST
LODI, CA 95240-5109
Phone number: 209-368-7121
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