Individual
CALLENDA A HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2323 N LAKE DR RM W1736, MILWAUKEE, WI 53211-4508
(414) 298-6735
(414) 298-6751
Mailing address
3800 N MESA ST STE A2-343, EL PASO, TX 79902-1538
(806) 535-9695
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
53152
WI
208100000X
Physical Medicine & Rehabilitation Physician
N9562
TX
2081P0010X
Pediatric Rehabilitation Medicine Physician
53152
WI
2081P0010X
Pediatric Rehabilitation Medicine Physician
N9562
TX
Other
Enumeration date
07/12/2008
Last updated
03/17/2018
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