Keego Family Practice

NPI #1891121901 in Keego Harbor, Michigan

Provider Information

NPI Number: 1891121901
Entity Type: Organization
Organization Name: Keego Family Practice
Primary Specialty: Internal Medicine
Enumeration Date: Sep 20, 2013
Last Updated: Sep 20, 2013

Practice Location

Address: 3435 ORCHARD LAKE RD
City: Keego Harbor
State: Michigan
ZIP Code: 48320-1315
Phone: (248) 977-4516

Authorized Official

Name: MS. HEATHER DICKENSON
Title: ADMINISTRATOR
Phone: (248) 977-4516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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