Individual
DR. DANIEL J KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
47 MAIN ST, COOPERS MILLS, ME 04341-3758
(207) 549-7581
(937) 847-8635
Mailing address
PO BOX 727, WATERVILLE, ME 04901-3758
(207) 495-3323
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36002572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0757604
—
OH
01
—
4237161
MEDICARE PTAN
OH
Enumeration date
06/13/2005
Last updated
08/27/2023
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