Individual
STEPHANIE M KEILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
111 LANSING ST, SUITE 230, CHARLOTTE, MI 48813-2400
(517) 543-5110
(517) 543-9776
Mailing address
111 LANSING ST, SUITE 230, CHARLOTTE, MI 48813-2400
(517) 543-5110
(517) 543-9776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704260187
MI
Other
Enumeration date
08/02/2013
Last updated
02/07/2020
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