| Doctor Name: | MARY F HACKER |
| NPI Number: | 1568459188 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 18164 |
| Business Practice Address: | 4189 Westlawn S Iowa City, IA - 522421100 |
| Business Phone Number: | 3193358370 |
| Business Fax Number: | 3143357247 |
| Mailing Address: | 4189 Westlawn S, IOWA CITY |
| State: | IA |
| Postal Code: | 522421100 |
| Phone Number: | 3193358370 |
| Fax Number: | 3143357247 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |