Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH Y MIYAMOTO, M.D.
ActiveDR. KEITH Y MIYAMOTO, M.D. is a Urology healthcare provider located in GAYLORD, Michigan. NPI 1609883842 is currently active in the NPPES registry. Verify at CMS.
Urology · GAYLORD, MI
Registration Details
- NPI Number
- 1609883842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.053304967558 yrs)
- Last Updated
- Dec 23, 2020
- License
-
4301032171 (MI)
Practice Information
- Address
-
829 N CENTER AVESUITE 160GAYLORD, MI, 497351595Browse MI providers · Browse ZIP 49735
- Phone
- 9897317131
- Fax
- 9897316415
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in GAYLORD, MI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW BOUDREAU AYRES | MD | 1649896317 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.