KEATON WARE

DEARBORN, MI
NPI1104541556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011362)
Enumeration Date2022-10-07
Last Update Date2022-11-14
Business Address
KEATON WARE PA-C
23455 MICHIGAN AVE
DEARBORN, MI 48124-1908
Phone number: 734-333-8001
Mailing Address
KEATON WARE PA-C
1301 ORLEANS ST APT 1905E
DETROIT, MI 48207-3098
Phone number: 989-600-9668