Mark W. Ketterer in Detroit - Clinical Neurophysiology
Mark W. Ketterer - NPI 1285782870
Mark W. Ketterer is a Clinical Neurophysiology in Detroit, Michigan. Mark W. Ketterer practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Mark W. Ketterer is 1285782870. The last update date is 2007-07-08.
Mark W. Ketterer's current location address is Henry Ford Health System, Detroit, Michigan. You can contact this provider via phone number 3139162436. The mailing address for Mark W. Ketterer is Henry Ford Health System, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W. Ketterer |
|---|---|
| Address | Henry Ford Health System, Detroit, Michigan |
| Phone Number | 3139162436 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1285782870 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Henry Ford Health System |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48202 |
| Phone Number | 3139162436 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 6301007377 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MK007377 | CHAMPUS-CHAMPUS | ||
| MK007377 | COMMERCIAL-COMMERCIAL NUMBER | ||
| PHD888810 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark W. Ketterer by the Centers for Medicare & Medicaid Services?
The Mark W. Ketterer has been issued the NPI (National Provider Identifier) 1285782870. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark W. Ketterer's facilities are geographically located?
The facilities of Mark W. Ketterer are physically situated at the following location: Henry Ford Health System, Detroit, MI, 48202.
What is the Mark W. Ketterer's area of specialization and corresponding taxonomy classification?
The Mark W. Ketterer's specialty field is Clinical Neurophysiology, and it falls under the taxonomy code 2084N0600X, which categorizes healthcare providers based on their specialties.
When was the Mark W. Ketterer's 1285782870 issued?
The Mark W. Ketterer's 1285782870 was issued on 2007-01-08.
As of what date was the information pertaining to Mark W. Ketterer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark W. Ketterer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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