Individual
DREW MILLER DINTELMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 288-3078
Mailing address
7801 MEADOWLARK DR, GODFREY, IL 62035-2363
(618) 467-1552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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