Organization
ADULT & PEDIATRIC UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME P KEATING MD (MEDICAL DOCTOR)
(320) 259-1411
Entity
Organization
Contact information
Practice address
2351 CONNECTICUT AVENUE SOUTH, SUITE 200, SARTELL, MN 56377-2011
(320) 259-1411
Mailing address
2351 CONNECTICUT AVENUE SOUTH, SUITE 200, SARTELL, MN 56377-2011
(320) 259-1411
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
04/21/2010
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