Individual provider · Type 1 NPI

Keith Charles Vansen, PAC

Surgical Physician Assistant · Detroit, MI

NPI number 1386764124 Active

Practice location

3980 John R
Detroit, MI 48201

Mailing address

3990 John R Har Surgery
Detroit, MI 48201

Other practice locations

  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 · (248) 849-5806

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601001903 (MI)

Surgical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1386764124

Keith Charles Vansen, PAC's National Provider Identifier is 1386764124, issued on Mar 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 22, 2021.