Individual
DR. DONALD A HACKBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-7424
(414) 805-7499
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF ORTHOPAEDIC SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-7424
(414) 805-7499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21703
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007000215Z
HUMANA
—
05
—
1801847637
—
WI
Enumeration date
05/15/2006
Last updated
01/07/2013
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