Individual
BRENT KEANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC-6G, DETROIT, MI 48201-2153
(313) 993-2529
Mailing address
6978 TROWBRIDGE CT, SAGINAW, MI 48603-8637
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021960
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
12/31/2015
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