Individual
MIRIAM L KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
750 STEPHENSON HWY, TROY, MI 48083-1103
(248) 577-3521
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704234727
MI
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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