Individual
DR. KEITH V ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6889 HIGHLAND RD, WATERFORD, MI 48327-1658
(248) 666-5200
(248) 666-5200
Mailing address
6889 HIGHLAND RD, WATERFORD, MI 48327-1658
(248) 666-5200
(248) 666-5200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
KA012524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F31072
BCBSM COMMON PROV ID #
MI
01
—
127722
CARE CHOICES
MI
05
—
4175696
—
MI
05
—
4602937
—
MI
01
—
5630659
BCBSM
MI
01
—
C8023
M-CARE
MI
01
—
H05020
HEALTH ALLIANCE PLAN
MI
Enumeration date
08/30/2005
Last updated
03/28/2008
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