Individual
APRIL R ST JOHN-KEENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1484 STRAITS DR STE 5, BAY CITY, MI 48706-8718
(989) 667-8740
(989) 667-8745
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015757
MI
208D00000X
General Practice Physician
5101015757
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101015757
STATE LICENSE NUMBER
MI
Enumeration date
11/21/2006
Last updated
06/10/2013
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