Individual
JACOB C BOLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24, CLEVELAND, OH 44195-3328
(216) 444-2200
Mailing address
3262 WAVERLY WOODS LN, HOWELL, MI 48843-9587
(517) 375-5263
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036161977
IL
207L00000X
Anesthesiology Physician
Primary
125076677
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/31/2020
Last updated
08/06/2025
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