Individual
KENNETH R LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7963
(586) 759-7793
Mailing address
13355 E 10 MILE RD, WARREN, MI 48089-2048
(586) 759-7963
(586) 759-7793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101012056
MI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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