Individual
MARK T HALDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1081 FAIRINGTON DR, SIDNEY, OH 45365-8130
(937) 493-0009
(937) 492-6684
Mailing address
915 MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 497-5665
(937) 497-5674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-07-5865-H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143737
—
OH
Enumeration date
05/11/2006
Last updated
12/16/2020
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