Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew John Ketner, DO

Individual provider Orthopaedic Surgery Physician · NPI 1043574874

Andrew John Ketner, DO is an Orthopedic Surgery in Waterford, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2012, 14 years ago. Practices with Ketner Orthopedics PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4000 Highland Rd Ste 101
Waterford, MI 48328-2163
Phone: (248) 270-5622
Fax: (248) 856-2474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 5101019855 (MI)

Record details

NPI number1043574874
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address4000 Highland Rd Ste 101, Waterford, MI 48328-2163

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Ketner Orthopedics Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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