Individual
JONATHAN R OLDAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005937RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.005937RX
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
03/20/2019
Last updated
03/20/2019
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