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Individual

DR. DAVID ANTHONY WACKER

Active
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Individual

DR. DAVID ANTHONY WACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

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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