Organization
MARC E KEEN, M.D. P.C.
Active
Other names
PATHOLOGY SERVICES OF WEST MI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ELWIN KEEN M.D. (OWNER)
(231) 845-2362
Entity
Organization
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2362
(231) 845-2440
Mailing address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2362
(231) 845-2440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301057451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2205330071
BCBSMI PATHOLOGY PIN
MI
05
—
2773078
—
MI
01
—
DG1399
MEDICARE RAILROAD
MI
Enumeration date
05/26/2006
Last updated
01/15/2008
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