Most Relevant Information
Provider Data
| NPI Number: | 1003655127 |
| Provider Name: | ANDREW HAFFELDER RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | L007572 |
Most Important Dates
| Enumeration Date: | 05/20/2024 |
| Last Updated: | 05/20/2024 |
Provider Practice Location
10643 KETTERING DR
SUITE 101
CHARLOTTE
NC
28226
Practice Location Phone/Fax
| Phone: | 7045499550 |
| Fax: | 7045499570 |
Provider Mailing Location
703 W STATE ST
JEFFERSON
WI
535491854
Provider Mailing Phone/Fax
| Phone: | 9207230610 |
| Fax: |