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1891780995
MARK ALVIN KELLERMAN
CLIVE, IA
NPI
1891780995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IA MD-35053)
Enumeration Date
2005-09-14
Last Update Date
2024-10-28
Business Address
Dr. MARK ALVIN KELLERMAN M.D.
12129 UNIVERSITY AVE STE 100
CLIVE, IA 50325-8298
Phone number: 515-400-3550
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Mailing Address
Dr. MARK ALVIN KELLERMAN M.D.
12129 UNIVERSITY AVE STE 100
CLIVE, IA 50325-8298
Phone number: 515-400-3550
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