Individual provider · Type 1 NPI
Robert Hacker, MD
Vascular Surgery Physician · Lake St. Louis, MO
NPI number
1295985554
Active
Practice location
1300 Hrc Plaza Dr
Lake St. Louis, MO 63367-1869
Mailing address
PO Box 1209
Maryland Heights, MO 63043-0209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD444137 (PA) |
| Vascular Surgery Physician | 2086S0129X | 252045 (NY) |
| Vascular Surgery Physician | 2086S0129X | 35126367 (OH) |
| Vascular Surgery Physician | 2086S0129X | 46827 (KY) |
| Vascular Surgery Physician Primary | 2086S0129X | 2019008677 (MO) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
Other vascular surgery physician providers in Lake St. Louis
About NPI 1295985554
Robert Hacker, MD's National Provider Identifier is 1295985554, issued on Sep 23, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jan 16, 2024.