Individual
DR. ANDREW JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
416 E MAUMEE ST, ANGOLA, IN 46703-2001
(260) 665-2141
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 498-2022
(260) 498-2032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006808A
IN
207P00000X
Emergency Medicine Physician
34.008571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2628599
—
OH
Enumeration date
02/10/2006
Last updated
05/28/2024
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