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

Ruston Keller

Individual provider Surgery Physician · NPI 1679376792

Ruston Keller is a Surgery Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-1601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351053968 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4351053968 (MI)

Record details

NPI number1679376792
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

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