Individual
RICHARD DAVID KEIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3577 W 13 MILE RD, SUITE 401, ROYAL OAK, MI 48073-6710
(248) 551-2414
(248) 435-4566
Mailing address
3577 W 13 MILE RD, SUITE 201, ROYAL OAK, MI 48073-6710
(248) 551-2414
(248) 435-4566
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
RK045143
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B8320
MCERE
—
01
—
P00180696
RR MEDICARE
—
01
—
P75686
BCN
—
Enumeration date
09/06/2005
Last updated
10/22/2020
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