Individual
ANDREW COLE HAEFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
634 EASTPOINTE CT, AMHERST, OH 44001-3445
(440) 656-9060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.009578RX
OH
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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