Individual
MICHAEL LOUIS KEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2757 LEONARD ST NE, SUITE 300, GRAND RAPIDS, MI 49525-5807
(616) 942-9424
(616) 942-9797
Mailing address
PO BOX 3140, GRAND RAPIDS, MI 49501-3140
(616) 942-9424
(616) 942-9797
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101012052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1854111145
BCBSM
—
05
—
4757986
—
MI
Enumeration date
02/17/2006
Last updated
03/17/2018
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