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

Mark W. Ketterer, PHD

Individual provider Clinical Neurophysiology Physician · NPI 1285782870

Mark W. Ketterer, PHD is a Clinical Neurophysiology Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Partly verified

Some contact details are missing from the federal record.

Henry Ford Health System 2799 West Grand Blvd
Detroit, MI 48202 Not confirmed with CMS for 19 years — call before visiting
Phone: (313) 916-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X · Licence 6301007377 (MI)

Record details

NPI number1285782870
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

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