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

Keith Charles Vansen, PAC

Individual provider Surgical Physician Assistant · NPI 1386764124

Keith Charles Vansen, PAC is a Surgical Physician Assistant in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3980 John R
Detroit, MI 48201
Phone: (888) 362-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 — (248) 849-5806

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601001903 (MI)

Record details

NPI number1386764124
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

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