IndividualActive
Mark Ketterer, PH.D.
NPI 1285782870 · Clinical Neurophysiology Physician · Detroit, MI
Provider details
- NPI number
- 1285782870
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 6301007377 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Henry Ford Health System
2799 West Grand Boulevard
Detroit, MI 48202
Phone: (313) 916-2436
Approximate (ZIP-level) locationGet directions
Mailing address
Henry Ford Health System
Detroit, MI 48202
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.