NPI 1235844069
Laura Marie Pettibone
Practice location
- Address
- 50194 Schoenherr Rd, Shelby Twp, MI 48315-3136
- Phone
- (586) 991-6596
Registered specialties
Technician/Technologist
Primary
Registry record
- NPI
- 1235844069
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jan 2023
- Record last updated
- 17 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.