Individual
MARY U KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
29289
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212393
MEDICA HEALTH PLANS
—
01
—
110410
UCARE
—
01
—
2116568
FIRST HEALTH PLAN
—
01
—
254015
PREFERRED ONE
—
01
—
51A35KE
BLUE CROSS BLUE SHIELD
—
01
—
598519
ARAZ GROUP AMERICAS PPO
—
01
—
599500400
MEDICAL ASSISTANCE
—
01
—
HP25465
HEALTH PARTNERS
—
Enumeration date
11/04/2005
Last updated
03/07/2023
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