IndividualActive
Philip Wackel
NPI 1982800645 · Pediatric Cardiology Physician · Rochester, MN
Provider details
- NPI number
- 1982800645
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 107551 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
200 1st St Sw
Rochester, MN 55905-0001
Phone: (507) 284-2511
Approximate (ZIP-level) locationGet directions
Mailing address
200 1st St Sw
Rochester, MN 55905-0001
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.