DR. Mark Alvin Kellerman, M.D.

NPI #1891780995 in Clive, Iowa

Provider Information

NPI Number: 1891780995
Entity Type: Individual
Name: DR. Mark Alvin Kellerman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Sep 14, 2005
Last Updated: Oct 28, 2024

Practice Location

Address: 12129 UNIVERSITY AVE STE 100
City: Clive
State: Iowa
ZIP Code: 50325-8298
Phone: (515) 400-3550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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