Keith Charles Vansen in Detroit - Surgical

Keith Charles Vansen - NPI 1386764124

Keith Charles Vansen is a Surgical in Detroit, Michigan. Keith Charles Vansen practices all healthcare services and medical treatments related to Surgical. The NPI Number for Keith Charles Vansen is 1386764124. The last update date is 2021-07-22.

Keith Charles Vansen's current location address is 3980 John R, Detroit, Michigan. You can contact this provider via phone number 8883622500. The mailing address for Keith Charles Vansen is 3980 John R, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Charles Vansen
Address 3980 John R, Detroit, Michigan
Phone Number 8883622500
Fax Number
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1386764124
Provider Enumeration Date 2007-03-29
Last Updated Date 2021-07-22

Provider Mailing Address Detail

Address 3980 John R
City Detroit
State Michigan (MI)
Post Code 48201
Phone Number 8883622500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 5601001903
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Keith Charles Vansen

What is the unique provider identifier assigned to Keith Charles Vansen?

The Keith Charles Vansen has been issued the NPI (National Provider Identifier) 1386764124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Keith Charles Vansen?

The Keith Charles Vansen is physically situated at 3980 John R, in the city of Detroit, state of MI, with the postal code 48201.

What is Keith Charles Vansen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Keith Charles Vansen's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.

On what date did the Keith Charles Vansen receive its 1386764124 assignment from the Centers for Medicare & Medicaid Services?

The Keith Charles Vansen was assigned its 1386764124 by the Centers for Medicare & Medicaid Services on 2007-03-29.

When was the information pertaining to Keith Charles Vansen most recently updated or revised?

The details related to Keith Charles Vansen, including its address, specialty, and other relevant information, were last updated or revised on 2021-07-22.

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