| Doctor Name: | ANDREW SELFE |
| NPI Number: | 1053751230 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 50.003730 |
| Business Practice Address: | 18697 Bagley Rd Middleburg Heights, OH - 441303417 |
| Business Phone Number: | 4408168000 |
| Business Fax Number: | |
| Mailing Address: | 1480 Bunts Rd, LAKEWOOD |
| State: | OH |
| Postal Code: | 441074518 |
| Phone Number: | 4406450828 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2013 |
| NPI Last Update Date: | 07/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 50.003730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |