Phillip J Keith, M.D.
Dermatology in Rochester, MN. Individual provider (NPI-1).
NPI number1073802468
StatusActive
Last updated in NPPESOct 22, 2012
Details
- NPI
- 1073802468
- Entity type
- Individual (NPI-1)
- Name
- Phillip J Keith
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2011
- Last updated
- Oct 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 55676 | MN | Yes |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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