Individual
SHAWN CHRISTINE HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4777
(414) 805-4774
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4777
(414) 805-4774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1303
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42993700
—
WI
Enumeration date
10/20/2005
Last updated
07/20/2021
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