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1629752308
KEATON ALEXANDER MERCK
MILWAUKEE, WI
NPI
1629752308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WI 82082-875)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
KEATON ALEXANDER MERCK DPM
2301 N LAKE DR RM 3664
MILWAUKEE, WI 53211-4508
Phone number: 701-340-2907
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Mailing Address
KEATON ALEXANDER MERCK DPM
2301 N LAKE DR RM 3664
MILWAUKEE, WI 53211-4508
Phone number: 414-585-1458
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