Individual
MR. JACOB POTTER EHLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
1730 W 25TH ST, 1E, CLEVELAND, OH 44113-3108
(216) 363-2311
Mailing address
1730 W 25TH ST, 1E, CLEVELAND, OH 44113-3108
(216) 363-2311
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.003399
OH
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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