Individual
DR. KEITH WESLEY IVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3496 E LAKE LANSING RD, SUITE 100, EAST LANSING, MI 48823-2288
(517) 333-0968
(517) 333-4280
Mailing address
3496 E LAKE LANSING RD, SUITE 100, EAST LANSING, MI 48823-2288
(517) 333-0968
(517) 333-4280
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301085294
MI
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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