Doctor profile · Federal record
Dr. Jacob Gacke
Student in an Organized Health Care Education/Training Program · Detroit, MI
- NPI 1891378477
- 5 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2799 W Grand Blvd
Detroit, MI 482022689
(313) 916-1601
fax (313) 916-2018 - Mailing address
-
15510 Emerald Dr
La Pine, OR 977399549
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891378477. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$423
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 3 | $291.21 | |
| Ethicon US, LLC | 1 | $131.31 |
By nature of payment
Frequently asked questions
What is Dr. Jacob Gacke's medical specialty?
Dr. Jacob Gacke practices Student in an Organized Health Care Education/Training Program in Detroit, MI.
Where does Dr. Jacob Gacke practice?
Dr. Jacob Gacke practices at 2799 W Grand Blvd, Detroit, MI 482022689. Office phone: 3139161601.
What is Dr. Jacob Gacke's NPI?
Dr. Jacob Gacke's National Provider Identifier (NPI) is 1891378477, issued by NPPES.