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Individual

MARCUS F KEEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-4036
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
20020410
NM
207T00000X
Neurological Surgery Physician
Primary
8573
ND
207T00000X
Neurological Surgery Physician
MD423288
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023760700001
PA
01
348308
MEDICARE GROUP PTAN NUMBE
CO
01
36132832
MEDICAID PRACTICE NUMBER
CO
01
56132832
MEDICAID GROUP NUMBER
CO
01
70259526
MEDICAID PRACTICE NUMBER
CO
05
83151559
CO
01
C810213
MEDICARE GROUP NUMBER
CO
Enumeration date
08/01/2006
Last updated
10/07/2022
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