Individual
MARVIN R KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1484 STRAITS DR STE 5, BAY CITY, MI 48706-8718
(989) 667-8740
(989) 667-8745
Mailing address
PO BOX 126, DECKERVILLE, MI 48427-0126
(810) 376-3100
(810) 376-8311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MK045279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045279
STATE LICENSE
MI
05
—
5221962
—
MI
01
—
P00458078
RAILROAD MEDICARE
MI
Enumeration date
07/24/2006
Last updated
02/09/2016
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