Elijah Keller
NPI #1710871108 in Michigan City, Indiana
Provider Information
- NPI Number
- 1710871108
- Entity Type
- Individual
- Name
- Elijah Keller
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 9, 2025
- Last Updated
- Jun 9, 2025
Practice Location
- Address
- 1213 E COOLSPRING AVE
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-6319
- Phone
- (269) 870-5105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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