Individual
ANDREW G HALDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1600 W MAIN ST, PEORIA, IL 61606-1027
(309) 676-7611
Mailing address
6500 N UNIVERSITY ST APT 409, PEORIA, IL 61614-2729
(651) 285-6965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3006-39
WI
Other
Enumeration date
07/11/2022
Last updated
02/21/2024
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