Individual
KEITH W EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Mailing address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094752
MI
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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