Individual
MAUREEN C KESHOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
860 E BROAD ST, SUITE I, ELYRIA, OH 44035-6542
(440) 323-8458
(440) 323-7900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35066027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169053
—
OH
Enumeration date
11/21/2005
Last updated
07/08/2007
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