Individual
CALLIE J HAERTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Mailing address
530 MASSACHUSETTS AVE APT 302, INDIANAPOLIS, IN 46204-2331
(262) 468-5421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
06/02/2025
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