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Search › California › 208600000X

Michael Ketelaar, M. D

NPI 1487705935 · on the registry since 2007 · sole proprietor

Practice

Address
1231 W Vine St
Lodi, CA 95240
Phone
(209) 368-7121
Fax
(209) 368-5750
Organisation at this address
Adventist Health Physicians Network
Donald E Hunneshagen M D Inc & Michael Ketelaar M D Ptr Hunneshagen Do
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California