Individual
JACOB ANDREW LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
(248) 420-3516
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(248) 420-3516
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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