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Keenan Hacker, DO
Student in an Organized Health Care Education/Training Program in Muskegon, Michigan
NPI 1295470623

Keenan Hacker is a Student in an Organized Health Care Education/Training Program based in Muskegon, MI. Keenan Hacker practices in Muskegon, MI and has the professional credentials of DO. The NPI Number for Keenan Hacker is 1295470623 and holds a License No. (Michigan).

The current practice location address for Keenan Hacker is 1675 Leahy St Ste 201, Muskegon, MI and can be reached out via phone at 231-672-8289.

Location: 1675 Leahy St Ste 201, Muskegon, MI, 49442-5542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295470623
Provider Name
Keenan Hacker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1675 Leahy St Ste 201, Muskegon, MI, 49442-5542
Phone Number
231-672-8289
Fax Number
Provider Enumeration Date
04/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1675 Leahy St Ste 201
City
Muskegon
State
Michigan
Zip
49442-5542
Phone Number
231-672-8289
Fax Number
person
Provider Business Mailing Address Details
Address
1675 Leahy St Ste 201
City
Muskegon
State
Michigan
Zip
49442-5542
Phone Number
231-672-8289
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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