Individual
FARIS ELDON KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24802
MN
2084P0800X
Psychiatry Physician
24802
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31657600
—
WI
05
—
449203000
—
MN
Enumeration date
07/10/2006
Last updated
05/10/2011
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