Individual
ANDREW H HILLESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3110 E ROSSER AVE APT 11, BISMARCK, ND 58501-5154
(701) 425-4938
Mailing address
3110 E ROSSER AVE APT 11, BISMARCK, ND 58501-5154
(701) 425-4938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
488-12
ND
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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