| Dr Michael Ketelaar, M D | |
|
1231 W Vine St, Lodi, CA 95240-5109 | |
| (209) 368-7121 | |
| (209) 368-5750 |
| Full Name | Dr Michael Ketelaar |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1231 W Vine St, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487705935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | C39467 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Ketelaar, M D 1231 W Vine St, Lodi, CA 95240-5109 Ph: (209) 368-7121 | Dr Michael Ketelaar, M D 1231 W Vine St, Lodi, CA 95240-5109 Ph: (209) 368-7121 |
Dr. Denny Schoch, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 | |
Dr. Tony M Chang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 S Ham Ln Ste E, Lodi, CA 95242 Phone: 209-333-1441 Fax: 209-333-1476 | |
Gordon Thomas Fahey Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 100, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 | |
Dr. Rolando G Simeon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 S Ham Ln, Suite E, Lodi, CA 95242 Phone: 209-333-1441 Fax: 209-333-1476 | |
Nagui Nabil Sorour, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave #100, Lodi, Lodi, CA 95240 Phone: 209-334-2010 Fax: 209-334-0132 |