Individual
JOHN A KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14101 FAIRVIEW DR, BURNSVILLE, MN 55337-4590
(952) 993-3282
Mailing address
14101 FAIRVIEW DR, BURNSVILLE, MN 55337-4590
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
40890
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
60476
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
30090500
—
WI
Enumeration date
10/20/2006
Last updated
03/17/2018
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