Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Timothy Keelan

Individual provider Physician Assistant · NPI 1659142750

Michael Timothy Keelan is a Physician Assistant in Grosse Pointe Woods, Michigan. Qualified in 2023, 3 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024

Practice location Address checks out

578 Thorn Tree Rd
Grosse Pointe Woods, MI 48236-2737
Phone: (586) 596-8057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1659142750
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address578 Thorn Tree Rd, Grosse Pointe Woods, MI 48236-2737

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Grosse Pointe Woods