Individual provider · Type 1 NPI

Ethan Porreca, BA

Other Technician · Livonia, MI

NPI number 1457258303 Active

Practice location

29550 Five Mile Rd
Livonia, MI 48154-3710

Call (800) 394-3223 Map

Mailing address

26545 American Dr
Southfield, MI 48034-6115

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1457258303

Ethan Porreca, BA's National Provider Identifier is 1457258303, issued on Oct 23, 2026. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Livonia, MI. The record was last updated on Oct 23, 2026.