DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL KETELAAR, M. D.

Active Sole Proprietor

DR. MICHAEL KETELAAR, M. D. is a General Surgery healthcare provider located in LODI, California. NPI 1487705935 is currently active in the NPPES registry. Verify at CMS.

General Surgery · LODI, CA

Registration Details

NPI Number
1487705935
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2007 (19.579671164086 yrs)
Last Updated
Jun 17, 2009
License
C39467 (CA)
Sole Proprietor
Yes

Practice Information

Address
1231 W VINE ST
LODI, CA, 952405109
Browse CA providers · Browse ZIP 95240
Phone
2093687121
Fax
2093685750
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in LODI, CA

Name Credential NPI
DR. ROLANDO G SIMEON MD 1457344293
GORDON THOMAS FAHEY JR. MD 1457323446
DR. GEORGE W MOWRY MD 1760404065
DR. TONY M CHANG M.D. 1164445896
DR. DENNY SCHOCH M.D. 1104840800
MR. ALEXANDER JOHANNES NEDOPIL M.D. 1326482142
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.