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Individual

DR. DAVID J KEEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 354-4208
Mailing address
30701 LORAIN RD, STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-065675
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000126684
ANTHEM BLUE CROSS BLUE SHIELD
01
1190033
UNITED HEALTH CARE
05
2035943
OH
01
5695557
AETNA
Enumeration date
03/21/2006
Last updated
05/06/2021
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