DREW THOMAS HACKER

MILWAUKEE, WI
NPI1710375696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  919-39)
Enumeration Date2014-12-31
Last Update Date2014-12-31
Business Address
-- DREW THOMAS HACKER LAT, ATC
3365 S 103RD ST
MILWAUKEE, WI 53227-4161
Phone number: 414-604-7512
Mailing Address
-- DREW THOMAS HACKER LAT, ATC
PO BOX 1997
MILWAUKEE, WI 53201-1997
Phone number: 414-604-7512
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