Individual
DR. GARY M KEOLEIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4499 TOWN CENTER PKWY, FLINT, MI 48532-3425
(810) 733-7111
(810) 733-7141
Mailing address
536 HANNA ST, BIRMINGHAM, MI 48009-1616
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
GK407137
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3746482
—
MI
Enumeration date
06/09/2005
Last updated
02/10/2012
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