Search › Michigan › 363AS0400X
Keith Vansen, PAC
NPI 1386764124 · on the registry since 2007
Practice
- Address
- 3980 John R
Detroit, MI 48201 - Phone
- (888) 362-2500
- Clinicians at this address
- 9
Additional practice sites
- 16001 W 9 Mile Rd, Southfield, MI
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan