Individual
DR. ANDREW GEORGE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ESSENTIA HEALTH DULUTH CLINIC, 400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
420 DELAWARE ST. SE, MMC 276, MINNEAPOLIS, MN 55455
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
53598
MN
208M00000X
Hospitalist Physician
MD7497
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K164680
MEDICARE
AK
05
—
MD9366
—
AK
Enumeration date
03/17/2009
Last updated
03/17/2018
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