Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 106224 | MN |
Y | 207RI0200X | Infectious Disease | 28161 | MN |
N | 207RI0200X | Infectious Disease | ME86174 | FL |
NPI | 1013906742 |
---|---|
Provider Name | Dr. Michael Raymond Keating |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2005 |
Last Update Date | 30/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
265532200 | (05) | FL |
440003956 | RAILROAD MEDICARE (01) | FL |
62683 | BLUECROSS/BLUESHIELD (01) | FL |
D81630 | (02) | FL |
ENROLLED | (05) | MN |