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Taft Keele, MD
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1992400873

Taft Keele is a Student in an Organized Health Care Education/Training Program based in Mishawaka, IN. Taft Keele practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Taft Keele is 1992400873 and holds a License No. (Indiana).

The current practice location address for Taft Keele is 611 E Douglas Rd Ste 407, Mishawaka, IN and can be reached out via phone at 574-335-6500. You can also correspond with Taft Keele through the mailing address at 611 E DOUGLAS RD # SET407, MISHAWAKA, IN - 46545-1464 (mailing address contact number: ).

Location: 611 E Douglas Rd Ste 407, Mishawaka, IN, 46545-1464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992400873
Provider Name
Taft Keele
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 407, Mishawaka, IN, 46545-1464
Phone Number
574-335-6500
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6500
Fax Number
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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