Provider Demographics
NPI:1083857148
Name:GAERTNER, WOLFGANG B (MS, MD)
Entity Type:Individual
Prefix:DR
First Name:WOLFGANG
Middle Name:B
Last Name:GAERTNER
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Gender:M
Credentials:MS, MD
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 195
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-624-9708
Mailing Address - Fax:612-626-4199
Practice Address - Street 1:420 DELAWARE ST SE
Practice Address - Street 2:MMC 195
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0341
Practice Address - Country:US
Practice Address - Phone:612-624-9708
Practice Address - Fax:612-626-4199
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-19
Last Update Date:2015-06-08
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Provider Licenses
StateLicense IDTaxonomies
MN55282208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery