Individual provider · Type 1 NPI

Jacob Potter Ehlers, MPAS, PA-C

Surgical Physician Assistant · Cleveland, OH

NPI number 1235415902 Active

Practice location

1730 W 25th St, 1E
Cleveland, OH 44113-3108

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X50.003399 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1235415902

Jacob Potter Ehlers, MPAS, PA-C's National Provider Identifier is 1235415902, issued on Oct 26, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cleveland, OH. The record was last updated on Oct 26, 2011.