Provider Demographics
NPI:1477874865
Name:GAECKLE, NATHANIEL THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:THOMAS
Last Name:GAECKLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:DIVISION OF PULMONARY, ALLERGY, CRITICAL CARE AND SLEEP
Mailing Address - Street 2:420 DELAWARE ST SE, MMC 276
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-0999
Mailing Address - Fax:612-625-2174
Practice Address - Street 1:909 FULTON ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-4800
Practice Address - Country:US
Practice Address - Phone:612-672-7422
Practice Address - Fax:314-362-9878
Is Sole Proprietor?:No
Enumeration Date:2010-06-20
Last Update Date:2023-12-20
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Provider Licenses
StateLicense IDTaxonomies
MN61969207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine