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NPI Code Detail

MEDICARE: JACOB MEHALIK DO

MEDICARE:   JACOB  MEHALIK  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207PE0004XEmergency Medical Services (Emergency Medicine) Physician34.018570OH

General Provider Information

NPI Number : 1700572682
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB MEHALIK DO
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 216-778-4486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 06/02/2026

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Directions to “ JACOB MEHALIK DO” Practice Location

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