Individual
KEITH FRANCIS MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N2273 STATE HIGHWAY M35, MENOMINEE, MI 49858-9555
(715) 923-9602
Mailing address
N2273 STATE HIGHWAY M35, MENOMINEE, MI 49858-9555
(715) 923-9602
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
26-3680039
MI
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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