Individual
KEITH S DEFEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34301 23 MILE RD, SUITE 100, CHESTERFIELD, MI 48047-4432
(586) 725-1770
(586) 725-4080
Mailing address
34301 23 MILE RD, SUITE 100, CHESTERFIELD, MI 48047-4432
(586) 725-1770
(586) 725-4080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301407492
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1977449
—
MI
Enumeration date
07/08/2006
Last updated
01/18/2017
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