Andrew John Ketner
General Practice Physician Orthopaedic Surgeon
50 N Perry St
Pontiac
, Michigan 48342
Andrew John Ketner
General Practice Physician Orthopaedic Surgeon
50 N Perry St
Pontiac
, Michigan 48342
(248) 338-5567
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About
Features
Specialties
- Orthopaedic Surgeon
- General Practice Physician
Languages spoken
- English
Location
First Address
- Andrew John Ketner
- 50 N Perry St
- Pontiac, MI
- Zip : 48342-2217
- Fax : (248) 338-5567
- Phone : (248) 338-5392
Second Address
- Andrew John Ketner
- 50 N Perry St
- Pontiac, MI
- Zip : 48342
- Fax : (248) 338-5567
- Phone : (248) 338-5392
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 5101019855 | MI |
| N | 208D00000X | General Practice Physician | 5101019855 | MI |
National Provider Identifier
| NPI | 1043574874 |
|---|---|
| Provider Name | Andrew John Ketner |
| First Address | Pontiac, MI 48342-2217 |
| Second Address | Pontiac, MI 48342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2012 |
| Last Update Date | 16/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.