Individual
JAKE MYKEL VINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST OFC UHC -9C, DETROIT, MI 48201-2153
(313) 745-5147
Mailing address
4201 SAINT ANTOINE ST OFC UHC -9C, DETROIT, MI 48201-2153
(313) 745-5147
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.017665
OH
207P00000X
Emergency Medicine Physician
4533
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
06/06/2025
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