Individual
MICHAEL KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2198 US 31 S, MANISTEE, MI 49660-9618
(231) 655-3146
Mailing address
2198 US 31 S, MANISTEE, MI 49660-9618
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703097445
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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