Individual
MARGARET NICOLE KEEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3373 MAPLE DR, YPSILANTI, MI 48197-3739
(734) 645-9958
Mailing address
3373 MAPLE DR, YPSILANTI, MI 48197-3739
(734) 645-9958
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0009020
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2022
Last updated
09/26/2023
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