Individual
CHRISTOPHER GACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 322-2200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7069
MN
363LA2200X
Adult Health Nurse Practitioner
CP001641
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001641
SD
Other
Enumeration date
10/01/2019
Last updated
08/21/2023
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