Individual
KEITH M FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-5318
(419) 291-6430
Mailing address
2428 HEATHERGLEN DR, MAUMEE, OH 43537-1028
(419) 868-1349
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070822
—
OH
Enumeration date
07/14/2005
Last updated
11/03/2023
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