NPI 1528025103 · live from the CMS NPI Registry
C Thomas Gaeckle, MD
Internal Medicine, Cardiovascular Disease in Sioux Falls, SD. National Provider Identifier 1528025103, active.
NPI record
| NPI | 1528025103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 4520 W 69th St, Sioux Falls, SD 57108 |
| Practice phone | 605-977-5000 |
| Mailing address | Po Box 5009, Sioux Falls, SD 57117 |
| Enumerated | April 27, 2006 |
| Last updated | March 24, 2008 |
| Sole proprietor | No |
| Other names | Charles Gaeckle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 1393 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.