Individual
JACOB MAX HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
(440) 695-4000
Mailing address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004798RX
OH
Other
Enumeration date
09/02/2016
Last updated
01/23/2020
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