Individual
ANTHONY HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 616-3423
Mailing address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 616-3423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69878
MN
Other
Enumeration date
04/15/2019
Last updated
05/05/2024
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