Adult & Pediatric Urology

NPI #1477587376 in Sartell, Minnesota

Provider Information

NPI Number: 1477587376
Entity Type: Organization
Organization Name: Adult & Pediatric Urology
Primary Specialty: Urology
Enumeration Date: Jul 10, 2006
Last Updated: Apr 21, 2010

Practice Location

Address: 2351 CONNECTICUT AVENUE SOUTH
Address 2: SUITE 200
City: Sartell
State: Minnesota
ZIP Code: 56377-2011
Phone: (320) 259-1411

Authorized Official

Name: DR. JEROME P KEATING, MD
Title: MEDICAL DOCTOR
Phone: (320) 259-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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