Individual
ANDREW JACOB HEGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1299
(563) 468-9908
Mailing address
511 COLLEGE ST, CANTON, MO 63435-1340
(563) 468-9908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
651AH6753
IA
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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