Individual
BENJAMIN L KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7272 N SHELDON RD, CANTON, MI 48187-2150
(877) 882-4480
Mailing address
1601 SAUNDERS CRES, ANN ARBOR, MI 48103-2535
(785) 221-5965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010354
MI
Other
Enumeration date
06/30/2021
Last updated
07/28/2021
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