Individual
DR. MICHAEL KEENAN MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, SUITE 1609, OMAHA, NE 68131-2137
(402) 280-5250
(402) 449-5641
Mailing address
601 N 30TH ST, SUITE 1609, OMAHA, NE 68131-2137
(402) 280-5250
(402) 449-5641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TEP 6291
NE
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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