Jacob Ryan Gacke is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Ryan Gacke NPI is 1891378477. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2799 W GRAND BLVD
DETROIT, MI
ZIP 48202-689
Phone: (313) 916-1601
Fax: (313) 916-2018
The NPI 1891378477 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/3/2021.