Thomas A Keller, MD | |
2300 Western Avenue, Manitowoc, WI 54221-1450 | |
(920) 684-2255 | |
Not Available |
Full Name | Thomas A Keller |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2300 Western Avenue, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992720569 | NPI | - | NPPES |
30861100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 020412 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Thomas A Keller, MD Po Box 1450, Manitowoc, WI 54221-1450 Ph: (920) 684-5560 | Thomas A Keller, MD 2300 Western Avenue, Manitowoc, WI 54221-1450 Ph: (920) 684-2255 |
Matthew Koeberl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Lakeshore Radiology, Manitowoc, WI 54220 Phone: 920-320-3800 | |
Stephen L Dudek, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Avenue, Manitowoc, WI 54221 Phone: 920-684-2255 | |
Todd J Schroeder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Avenue, Manitowoc, WI 54221 Phone: 920-684-2255 |