Individual
DR. C THOMAS GAECKLE
Active
Individual
DR. C THOMAS GAECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1393
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000970
SD BCBS
SD
05
—
1122911
—
IA
01
—
121283
UCARE
—
01
—
1393
DAKOTACARE
SD
01
—
36112
HEALTH PARTNERS
—
01
—
4T613GA
MN BCBS - PLAN 91057NO
MN
01
—
538R3GA
MN BCBS - PLAN 538R2NO
MN
01
—
53989
IA BCBS
IA
05
—
6001092
—
SD
01
—
931451029033
PREFERRED ONE
MN
Enumeration date
04/27/2006
Last updated
03/24/2008
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