DR. DAVID ANTHONY WACKER (NPI# 1386969327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386969327 |
| Entity Type | Individual |
| Full Name | DR. DAVID ANTHONY WACKER |
| Credential | M.D., PH.D. |
| Practice Address |
401 E River Pkwy Suite 350, Vcrc Minneapolis MN 55455-0368 |
| Mailing Address |
420 Delaware St Se Mmc 276 Minneapolis MN 55455-0341 |
| Practice Telephone | 6126240999 |
| Practice Fax Number | 6126252174 |
| Mailing Telephone | 6126240999 |
| Mailing Fax Number | 6126252174 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 60619 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
60619 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972955706 | David Wacker | Specialist/Technologist | 107 Knollwood Dr, Cherry Hill, NJ 08002-1544 | 2016-07-05 |
| 1093012619 | David Wacker | Dentist | 25428 Cumberland Ln, Calabasas, CA 91302-3156 | 2011-02-16 |
| 1326202482 | David P Wacker | Psychologist | 200 Hawkins Dr, University of Iowa Hospitals and Clinics, Iowa City, IA 52242-1009 | 2008-07-17 |
| Street Address |
401 E RIVER PKWY SUITE 350, VCRC |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770797151 | Marissa Anne Hendrickson | Pediatrics | 401 E River Pkwy, Pediatric Emergency Medicine, 76 Vcrc, Minneapolis, MN 55455-0368 | 2007-05-09 |
| 1760897417 | Hirak Shah | Internal Medicine | 401 E River Pkwy, Minneapolis, MN 55455-0368 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205196854 | Katherine Tran Janssen | Internal Medicine | Mmc 276, 420 Delaware Street Se, Minneapolis, MN 55455 | 2012-05-16 |
| 1356994404 | Brienne L Sauvageau | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-18 |
| 1750943023 | Stacy Jepsen | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2019-07-08 |
| 1992060214 | Takehide Umeda | Internal Medicine | 420 Delaware St Se, Mmc 276, Minneapolis, MN 55455-0341 | 2012-07-12 |
| 1396005864 | Steven Skolasinski | Internal Medicine | 420 Delaware St Se, Mmc 276, Minneapolis, MN 55455-0341 | 2012-05-18 |
| 1326209610 | Jena Nicole Wirt | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2008-06-19 |
| 1114188406 | Umesh Goswami | Internal Medicine | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2008-06-19 |
| 1730348319 | Erik Christopher Brockman | Internal Medicine | 2530 Chicago Ave Ste 400, Minneapolis, MN 55404-4387 | 2008-06-09 |
| 1467610634 | Laurel Elizabeth Garrett Stephenson | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2008-05-23 |
| 1003090358 | Ronald Alexander Reilkoff | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2007-12-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. DAVID ANTHONY WACKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.