Individual
KEITH A TOWNE
Active
Individual
KEITH A TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20218
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127325
UCARE
MN
05
—
1958926
—
IA
01
—
48869TO
BCBS MPIN
MN
05
—
574082700
—
MN
Enumeration date
10/03/2006
Last updated
05/26/2015
Update your record
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