IndividualActive
Andrew Ketner, D.O.
NPI 1043574874 · Orthopaedic Surgery Physician · Waterford, MI
Provider details
- NPI number
- 1043574874
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101019855 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4000 Highland Rd Ste 101
Waterford, MI 48328-2163
Phone: (248) 270-5622
Fax: (248) 856-2474
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Highland Rd Ste 101
Waterford, MI 48328-2163
Registry dates
- Enumerated
- 2012-06-26
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.