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1932240421
KEITH WESLEY IVENS
EAST LANSING, MI
NPI
1932240421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301085294)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Dr. KEITH WESLEY IVENS M.D.
3496 E LAKE LANSING RD SUITE 100
EAST LANSING, MI 48823-2288
Phone number: 517-333-0968
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Mailing Address
Dr. KEITH WESLEY IVENS M.D.
3496 E LAKE LANSING RD SUITE 100
EAST LANSING, MI 48823-2288
Phone number: 517-333-0968
Copy
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