Individual provider · Type 1 NPI
Michael Ketelaar, M. D.
Surgery Physician · Lodi, CA
Practice location
1231 W Vine St
Lodi, CA 95240-5109
Fax (209) 368-5750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | C39467 (CA) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
Another provider at this address
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- Gordon Thomas Fahey Jr., MDSurgery Physician Lodi, CA NPI 1457323446
- Rolando G. Simeon, MDSurgery Physician Lodi, CA NPI 1457344293
- George W. Mowry, MDSurgery Physician Lodi, CA NPI 1760404065
About NPI 1487705935
Michael Ketelaar, M. D.'s National Provider Identifier is 1487705935, issued on Jan 12, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lodi, CA. The record was last updated on Jun 17, 2009.