Individual
RUSSELL D KEINATH
Active
Individual
RUSSELL D KEINATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301043636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021534
MIDWEST HEALTH PLAN
MI
01
—
0H14989
BCBSM GROUP
MI
05
—
1728793
—
MI
01
—
2403058001
CIGNA
MI
01
—
4404030
AETNA
MI
Enumeration date
01/13/2006
Last updated
01/12/2018
Update your record
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