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Individual

DANIEL S HACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2764
(414) 777-4870
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2764
(414) 777-4870

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8359
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100044630
WI
Enumeration date
06/10/2013
Last updated
07/25/2024
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