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NPI Code Detail

MEDICARE: HANNAH DANKERT

MEDICARE: HANNAH DANKERT
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
1103K00000XBehavior Analyst473-140WI

General Provider Information

NPI Number : 1659031375
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH DANKERT
Provider Business Mailing Address
First Line : 1575 ALLOUEZ AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-5639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 W HISTORIC MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3307
Country : US
Telephone Number : 920-857-9041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2021
Last Update Date : 12/21/2021

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Directions to “ HANNAH DANKERT ” Practice Location

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