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Robert Pettaway
NPI 1598316119 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2995 E Grand Blvd
Detroit, MI 48202 - Phone
- (313) 758-0150
- Organisation at this address
- Black Family Development, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Additional practice sites
- 5555 Conner St, Detroit, MI
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Sex
- Male
- Record last updated
- 2019-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan