Individual
DR. KEAN T OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 EAST FRONT STREET, TRAVERSE CITY, MI 49686-2704
(231) 938-0710
(231) 938-0264
Mailing address
39650 ORCHARD HILL PL STE 200, NOVI, MI 48375-5391
(248) 319-0161
(248) 319-0170
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301091262
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301091262
MI
Other
Enumeration date
08/12/2005
Last updated
01/26/2022
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