Individual
ANGELA KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
829 N CENTER AVE STE 210, GAYLORD, MI 49735
(989) 731-7833
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151015688
MI
Other
Enumeration date
04/11/2022
Last updated
07/02/2025
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