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

Mr. Robert Pettaway

Individual provider Other Technician · NPI 1598316119

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
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Practice location Address checks out

2995 E Grand Blvd
Detroit, MI 48202-3133
Phone: (313) 758-0150
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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 number1598316119
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 25, 2019
Last updated in NPPESSeptember 25, 2019
Mailing address2995 E Grand Blvd, Detroit, MI 48202-3133

Other providers in Detroit