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Jake Paul
NPI 1225988959 · on the registry since 2026
Practice
- Address
- 20873 Mack Ave
Grosse Pointe Woods, MI 48236 - Phone
- (313) 466-7884
- Fax
- (313) 464-0001
- Organisation at this address
- Athletico Ltd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan