Individual
DR. COURTLAND KEITH KETEYIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N. EAST AVENUE, JACKSON, MI 49201
(517) 205-5995
Mailing address
205 N. EAST AVENUE, JACKSON, MI 49201
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4301098782
MI
Other
Enumeration date
06/02/2011
Last updated
03/02/2021
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