Individual
MR. PETER HUMMEL ACKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5045 W GRANDE MARKET DR, APPLETON, WI 54913-8517
(920) 886-9380
(920) 886-9381
Mailing address
BIN 88040, MILWAUKEE, WI 53288-0040
(902) 886-9380
(920) 886-9381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29907-020
WI
207RC0000X
Cardiovascular Disease Physician
29907-020
WI
207RI0011X
Interventional Cardiology Physician
Primary
29907-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31467300
—
WI
Enumeration date
05/10/2006
Last updated
07/31/2019
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