Healthcare Provider Details

I. General information

NPI: 1295817047
Provider Name (Legal Business Name): FRANZ A. KEILHAUER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 12/21/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MINERAL POINT AVE
JANESVILLE WI
53548-2940
US

IV. Provider business mailing address

1000 MINERAL POINT AVE
JANESVILLE WI
53548-2940
US

V. Phone/Fax

Practice location:
  • Phone: 608-756-6000
  • Fax:
Mailing address:
  • Phone: 608-756-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number36489
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number36489
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: