# KEITH B DANIELS DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205043361
- **Authorized official:** DR. KEITH B DANIELS DPM (PRESIDENT)
- **Authorized official phone:** (810) 424-3338

## Contact information

- **Practice address:** 2811 E COURT ST, FLINT, MI 48506-4054
- **Practice address phone:** (810) 424-3338
- **Practice address fax:** (810) 424-3226
- **Mailing address:** 2811 E COURT STE B, PO BOX 228, FLINT, MI 48501
- **Mailing address phone:** (810) 424-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | KD001100 | MI | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 06/11/2008