Individual
KEITH D SUMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1858 FIRCREST DR, EUGENE, OR 97403-2139
(616) 881-9555
(616) 881-9555
Mailing address
1858 FIRCREST DR, EUGENE, OR 97403-2139
(616) 881-9555
(616) 881-9555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301078906
MI
207P00000X
Emergency Medicine Physician
Primary
4301078906
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301078906
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00824253
RAILROAD MEDICARE
MI
Enumeration date
04/11/2006
Last updated
07/22/2016
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