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1790712883
KEEGAN LAWRENCE MAXWELL
SARTELL, MN
NPI
1790712883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: SD 12655)
Additional Taxonomies
208800000X Urology
(Licence: MN 51197)
Enumeration Date
2006-06-26
Last Update Date
2021-07-08
Business Address
Dr. KEEGAN LAWRENCE MAXWELL MD
2351 CONNECTICUT AVE S SUITE 200
SARTELL, MN 56377-2477
Phone number: 320-259-1411
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Mailing Address
Dr. KEEGAN LAWRENCE MAXWELL MD
401 9TH AVE NW
WATERTOWN, SD 57201-1548
Phone number: 605-882-7777
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