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1730872748
ELISE N KETELAAR
FARMINGTON HILLS, MI
NPI
1730872748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 5151016385)
Enumeration Date
2023-05-26
Last Update Date
2023-05-26
Business Address
Dr. ELISE N KETELAAR DO
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 947-521-8136
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Mailing Address
Dr. ELISE N KETELAAR DO
1825 PARMENTER BLVD APT 312
ROYAL OAK, MI 48073-1268
Phone number: 231-580-3103
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