Individual provider · Type 1 NPI

Jacob Edward Moench, PA-C

Physician Assistant · Berkley, MI

NPI number 1699292755 Active

Practice location

27901 Woodward Ave Ste 300
Berkley, MI 48072-0921

Call (947) 523-4500 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008411 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699292755

Jacob Edward Moench, PA-C's National Provider Identifier is 1699292755, issued on Aug 29, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Berkley, MI. The record was last updated on Aug 25, 2026.