| 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 |