Organization
MARVIN ROGER KEELING ET AL PTRS PHOENIX MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN R KEELING M.D. (OWNER)
(989) 358-8145
Entity
Organization
Contact information
Practice address
1185 US HIGHWAY 23 N, SUITE C, ALPENA, MI 49707-8018
(989) 358-8145
Mailing address
1185 US HIGHWAY 23 N, SUITE C, ALPENA, MI 49707-8018
(989) 358-8145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MK045279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4377379
—
MI
Enumeration date
07/22/2006
Last updated
08/22/2020
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