Detrese Abbott
Technician, Other in Harper Woods, MI. Individual provider (NPI-1).
NPI number1689076879
StatusActive
Last updated in NPPESSep 19, 2014
Details
- NPI
- 1689076879
- Entity type
- Individual (NPI-1)
- Name
- Detrese Abbott
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2014
- Last updated
- Sep 19, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | MI | Yes |
Practice location
20325 Lennon StHarper Woods, MI 48225-1603
Phone 586-335-3332
Mailing address
20325 Lennon StHarper Woods, MI 48225-1603
Phone 586-335-3332
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Other Technician providers in Harper Woods · All 315 providers in Harper Woods
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