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Robert Pettaway
NPI 1598316119 · Other Technician · Detroit, MI
Robert Pettaway is a Other Technician provider in Detroit, MI (NPI 1598316119).
Provider details
- NPI number
- 1598316119
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2995 E Grand Blvd
Detroit, MI 48202-3133
Phone: (313) 758-0150
Street-level locationGet directions
Mailing address
2995 E Grand Blvd
Detroit, MI 48202-3133
Additional practice locations (1)
- 5555 Conner StDetroit, MI 48213-3448Phone: (313) 308-0255
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2019-09-25
Frequently asked questions
- What is Robert Pettaway's NPI number?
- Robert Pettaway's National Provider Identifier (NPI) is 1598316119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Pettaway's specialty?
- Robert Pettaway is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Robert Pettaway located?
- Robert Pettaway's practice location on file with NPPES is 2995 E Grand Blvd, Detroit, MI 48202-3133.
- What is Robert Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Robert Pettaway is (313) 758-0150.
- Is Robert Pettaway's NPI active?
- Yes — Robert Pettaway's NPI (1598316119) is active in the NPPES registry as of the last update on 2019-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.