Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2301010030 | MI |
NPI | 1043532203 |
---|---|
Provider Name | Dr. Nathan David Keiser |
First Address | Chelsea, MI 48118-1255 |
Second Address | Chelsea, MI 48118-1255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2010 |
Last Update Date | 03/07/2019 |