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Individual

KEITH LOVELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8300
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003569
MI

Other

Enumeration date
06/29/2006
Last updated
06/05/2008
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