Healthcare Provider Details

I. General information

NPI: 1447307160
Provider Name (Legal Business Name): HANNA ESKINDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 N 12TH ST
MILWAUKEE WI
53233-1305
US

IV. Provider business mailing address

945 N 12TH ST
MILWAUKEE WI
53233-1305
US

V. Phone/Fax

Practice location:
  • Phone: 414-219-3031
  • Fax: 414-219-7731
Mailing address:
  • Phone: 414-219-3031
  • Fax: 414-219-7731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number37990-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: