Individual
DAVID JEDLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
619 LIPKE CT, MEDINA, OH 44256-4099
(440) 789-3255
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0031500
OH
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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