Organization
KEEGO FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER DICKENSON (ADMINISTRATOR)
(248) 977-4516
Entity
Organization
Contact information
Practice address
3435 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1315
(248) 977-4516
(248) 977-4549
Mailing address
3435 ORCHARD LAKE RD, KEEGO HARBOR, MI 48320-1315
(248) 977-4516
(248) 977-4549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069223
MI
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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