Individual
DR. DAVID ANTHONY WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
401 E RIVER PKWY, SUITE 350, VCRC, MINNEAPOLIS, MN 55455-0368
(612) 624-0999
(612) 625-2174
Mailing address
420 DELAWARE ST SE, MMC 276, MINNEAPOLIS, MN 55455-0341
(612) 624-0999
(612) 625-2174
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
60619
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
60619
MN
Other
Enumeration date
04/01/2010
Last updated
11/07/2019
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