DR. MICHAEL KETELAAR M. D.
NPI 1487705935
Surgery in Lodi, CA

Q: What is Michael Ketelaar's NPI number?

The NPI number for Michael Ketelaar is 1487705935. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Michael Ketelaar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ketelaar was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2007

1231 W VINE ST, LODI, CA 95240(209) 368-7121(209) 368-5750 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael Ketelaar M. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL KETELAAR M. D. (NPI 1487705935) is an individual surgery provider in Lodi, California, licensed in California (C39467) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1487705935

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MICHAEL KETELAARCredential: M. D.

Location Address1231 W VINE STLodi, CA 95240-5109

Mailing Address1231 W Vine StLodi, CA 95240-5109 · (209) 368-7121 · Fax (209) 368-5750

Phone(209) 368-7121

Fax(209) 368-5750

Sole ProprietorYes

Enumeration DateJanuary 12, 2007

Last NPPES UpdateJune 17, 2009

✔ NPI 1487705935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · C39467

Definition

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 increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1231 W VINE ST, Lodi, CA 95240

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA37149CA

Medicare PIN00C394670CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD E HUNNESHAGEN M D INC & MICHAEL KETELAAR M D PTR HUNNESHAGEN DO

Surgery

1231 W VINE ST, SUITE 19
LODI, CA 95240

San Joaquin County (209) 368-7121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ketelaar's NPI number?

The NPI number for Michael Ketelaar is 1487705935. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Michael Ketelaar located?

Michael Ketelaar practices at 1231 W Vine St, Lodi, CA 95240. The listed phone number is (209) 368-7121.

What is Michael Ketelaar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Michael Ketelaar was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.