Individual provider · Type 1 NPI

Raven Harrell

Technician/Technologist · Grosse Pointe Woods, MI

NPI number 1033838115 Active

Practice location

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893

Call (313) 343-1370 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1033838115

Raven Harrell's National Provider Identifier is 1033838115, issued on Aug 23, 2022. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Aug 23, 2022.