Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Andrew Levy

Individual provider Other Technician · NPI 1063094472

Jacob Andrew Levy is an Other Technician in Detroit, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1502
Phone: (248) 420-3516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1063094472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2021
Last updated in NPPESApril 26, 2021
Certification dateApril 22, 2021
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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