Individual
ANDREW PAUL JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(419) 383-4000
(419) 383-3058
Mailing address
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004610RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168034
—
OH
Enumeration date
02/10/2016
Last updated
01/15/2026
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