Individual
PHILIP L WACKEL
Active
Individual
PHILIP L WACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
58258
MN
208000000X
Pediatrics Physician
107551
MN
2080P0202X
Pediatric Cardiology Physician
13518
ND
2080P0202X
Pediatric Cardiology Physician
57540
AZ
2080P0202X
Pediatric Cardiology Physician
Primary
58258
MN
Other
Enumeration date
06/21/2007
Last updated
07/21/2026
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