JOHN KETA

TROY, MI
NPI1144245804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601002242)
Enumeration Date2006-07-13
Last Update Date2020-10-22
Business Address
Mr. JOHN KETA PA-C
44199 DEQUINDRE RD STE 311
TROY, MI 48085
Phone number: 248-964-9490
Mailing Address
Mr. JOHN KETA PA-C
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3489
Phone number: 947-522-1867