OrganizationActive
Adult & Pediatric Urology
NPI 1477587376 · Urology Physician · Sartell, MN
Provider details
- NPI number
- 1477587376
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jerome Keating, Medical Doctor
Practice location
2351 Connecticut Avenue South
Suite 200
Sartell, MN 56377-2011
Phone: (320) 259-1411
Mailing address
2351 Connecticut Avenue South
Sartell, MN 56377-2011
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2010-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.