Individual
MR. MARC ELWIN KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2362
(231) 845-2440
Mailing address
PO BOX 306, LUDINGTON, MI 49431-0306
(231) 845-2362
(231) 845-2440
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301057451
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301057451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2205330071
BCBS
MI
05
—
2773078
—
MI
Enumeration date
01/27/2006
Last updated
01/15/2008
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