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Individual

JIMEKA PETTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(313) 460-5223
Mailing address
18234 COYLE ST, DETROIT, MI 48235-2827

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
05/02/2015
Last updated
04/21/2026
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