Individual
KENNETH ELMASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 COLLINS RD # 106, LANSING, MI 48910-8394
(517) 482-2118
(517) 482-6280
Mailing address
1749 HAMILTON RD STE 102E, OKEMOS, MI 48864-1941
(517) 482-2118
(517) 482-6280
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
KE007148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320111
—
MI
Enumeration date
02/06/2006
Last updated
02/07/2024
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