Mr. Robert Pettaway
Mr. Robert Pettaway is an Other Technician in Detroit, Michigan. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2995 E Grand BlvdDetroit, MI 48202-3133
Phone: (313) 758-0150
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5555 Conner St, Detroit, MI 48213-3448 — (313) 308-0255
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1598316119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2019 |
| Last updated in NPPES | September 25, 2019 |
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