1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Psychiatry Neurology
  6. NPI Profile

MARK W. KETTERER PH.D.
NPI 1285782870
Psychiatry & Neurology - Clinical Neurophysiology in Detroit, MI

Active since January 08, 2007
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202(313) 916-2436 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark W. Ketterer Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK W. KETTERER PH.D. (NPI 1285782870) is an individual clinical neurophysiology provider in Detroit, Michigan, licensed in Michigan (6301007377) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1285782870
Entity TypeIndividualMale
Primary Taxonomy2084N0600X
Provider Legal NameMARK W. KETTERERCredential: PH.D.
Location AddressHENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARDDetroit, MI 48202
Mailing AddressHenry Ford Health System, 2799 West Grand BoulevardDetroit, MI 48202 · (313) 916-2436
Phone(313) 916-2436
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285782870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
License✔ Licensed in MI · 6301007377
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
HENRY FORD HEALTH SYSTEM, Detroit, MI 48202
Open in Google Maps ↗

Other Identifiers 4

MedicaidPHD888810MI
OtherMK007377Champus-champus
OtherMK007377Commercial-commercial Number
Medicare UPINR90612

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY L. HAYS M.D.
Emergency Medicine
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
RAJINDER P. SHARMA M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
MILAN V. PANTELIC M.D.
Radiology (Diagnostic Radiology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
MEHSATI HERAWI M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
AAMIR SIDDIQUI M.D.
Plastic Surgery
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
RAY H. LITTLETON M.D.
Urology
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436
ARNEL V. CLARIN M.D.
Family Medicine
HENRY FORD HEALTH SYSTEM, 1151 TAYLOR
DETROIT, MI 48202
Wayne County (313) 823-9800
ELIZABETH J. ANGUS M.D.
Psychiatry & Neurology (Neurology)
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD
DETROIT, MI 48202
Wayne County (313) 916-2436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Ketterer's NPI number?

The NPI number for Mark Ketterer is 1285782870. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Mark Ketterer located?

Mark Ketterer practices at Henry Ford Health System 2799 West Grand Boulevard, Detroit, MI 48202. The listed phone number is (313) 916-2436.

What is Mark Ketterer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Mark Ketterer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.