Individual
KEATON ALEXANDER MERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2301 N LAKE DR RM 3664, MILWAUKEE, WI 53211-4508
(701) 340-2907
Mailing address
2301 N LAKE DR RM 3664, MILWAUKEE, WI 53211-4508
(414) 585-1458
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
82082-875
WI
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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