Individual provider · Type 1 NPI

Suraya Petty

Technician/Technologist · Bingham Farms, MI

NPI number 1073079968 Active

Practice location

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Other practice locations

  • 33464 Schoenherr Rd Ste 180, Sterling Heights, MI 48312-6392 · (248) 712-4266
  • 33464 Schoenherr Rd Ste 180, Sterling Heights, MI 48312-6392 · (248) 712-4266

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 1073079968

Suraya Petty's National Provider Identifier is 1073079968, issued on Feb 15, 2019. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Bingham Farms, MI. The record was last updated on Feb 15, 2019.