Individual
PHILIP A KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5524
(920) 361-5486
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
47873-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831275890
—
WI
Enumeration date
10/31/2006
Last updated
01/29/2026
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