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

Jake Mitchell

Individual provider Technician/Technologist · NPI 1083283444

Jake Mitchell is a Technician/Technologist in Grosse Pointe Woods, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893
Phone: (313) 343-1370
Fax: (248) 712-0438
Show map & directions

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

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1083283444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address19251 Mack Ave Ste M450, Grosse Pointe Woods, MI 48236-2893

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