Individual
TRAVIS HALDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3545 ARBOR BLVD, PORTAGE, IN 46368-4298
(708) 636-9205
(708) 229-6075
Mailing address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 947-6153
(219) 703-6501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02004689A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201321810
—
IN
Enumeration date
05/18/2006
Last updated
06/16/2018
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