Individual
KEITH A DOREMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
500 S STATE ST, ANN ARBOR, MI 48109-1382
(734) 764-1817
Mailing address
215 S STATE RD, OMER, MI 48749-9711
(734) 985-4143
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704342157
MI
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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