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1548257124

NPI Code Detail

MEDICARE: DR. PAUL HANKWITZ MD

MEDICARE: DR. PAUL HANKWITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	19419	WI
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	19419	WI
3	207R00000X	Internal Medicine Physician	19419	WI
4	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	19419	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	19419	OTHER	WI	STATE MEDICAL LICENSE
3	2000160500	OTHER	MO	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1548257124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL HANKWITZ MD

Provider Business Mailing Address
First Line	:	3023 S 84TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53227-3703
Country	:	US
Telephone Number	:	414-607-4100
Fax Number	:	414-607-4502

Provider Business Practice Location Address
First Line	:	8520 W OKLAHOMA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53227-4604
Country	:	US
Telephone Number	:	414-607-4100
Fax Number	:	414-607-4502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	09/11/2025

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Directions to “ DR. PAUL HANKWITZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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