Individual
KEENAN L HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1675 LEAHY ST STE 201, MUSKEGON, MI 49442-5542
(231) 672-8289
Mailing address
1675 LEAHY ST STE 201, MUSKEGON, MI 49442-5542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101027749
MI
Other
Enumeration date
04/29/2022
Last updated
03/04/2025
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