Individual
DR. JOHN ALLEN KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 241-2333
(616) 452-6767
Mailing address
5900 BYRON CENTER AVE SW, ATTN: MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101010722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060055951
RAILROAD MEDICARE
MI
05
—
4139205
—
MI
01
—
5101010722
STATE LICENSE
MI
Enumeration date
12/06/2005
Last updated
02/25/2021
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