Individual
DR. ANNE KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3171 44TH ST S UNIT 101, FARGO, ND 58104-1940
(701) 235-0561
(701) 235-0330
Mailing address
3171 44TH ST S UNIT 101, FARGO, ND 58104-8521
(701) 235-0561
(701) 235-0330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10073
ND
207W00000X
Ophthalmology Physician
239091
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15370
—
ND
Enumeration date
04/15/2009
Last updated
03/08/2021
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