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Mr. Keith J Hacker, PA
Physician Assistant in Port Washington, Wisconsin
NPI 1952508400

Keith J Hacker is a Physician Assistant based in Port Washington, WI. Keith J Hacker practices in Port Washington, WI and has the professional credentials of PA. The NPI Number for Keith J Hacker is 1952508400 and holds a License No. 523 (Wisconsin).

The current practice location address for Keith J Hacker is 1777 W Grand Ave, Port Washington, WI and can be reached out via phone at 262-284-3456.

Location: 1777 W Grand Ave, Port Washington, WI, 53074-2077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952508400
Provider Name
Keith J Hacker
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1777 W Grand Ave, Port Washington, WI, 53074-2077
Phone Number
262-284-3456
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952508400 05 WI
institution
Provider Business Practice Location Address Details
Address
1777 W Grand Ave
City
Port Washington
State
Wisconsin
Zip
53074-2077
Phone Number
262-284-3456
Fax Number
person
Provider Business Mailing Address Details
Address
1777 W Grand Ave
City
Port Washington
State
Wisconsin
Zip
53074-2077
Phone Number
262-284-3456
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
523 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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