Individual
DR. KEITH WILLIAM MIRANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15 MEIGS AVE, MADISON, CT 06443-3057
(203) 245-8217
(203) 245-9390
Mailing address
15 MEIGS AVE, MADISON, CT 06443-3057
(203) 245-8217
(203) 245-9390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001711
CT
Other
Enumeration date
03/01/2007
Last updated
01/02/2009
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