Timothy Scott Wackerle
Nurse Practitioner - Critical Care Medicine
363 Fremont St Ste 100
Battle Creek
, Michigan 49017-3395
Timothy Scott Wackerle
Nurse Practitioner - Critical Care Medicine
363 Fremont St Ste 100
Battle Creek
, Michigan 49017-3395
(989) 450-1763
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Timothy Scott Wackerle
- 12876 Hawks Ln
- Battle Creek, MI
- Zip : 49014-8614
- Phone : (989) 450-1763
Second Address
- Timothy Scott Wackerle
- 363 Fremont St Ste 100
- Battle Creek, MI
- Zip : 49017-3395
- Phone : (269) 969-6100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 4704229024 | MI |
National Provider Identifier
| NPI | 1235655036 |
|---|---|
| Provider Name | Timothy Scott Wackerle |
| First Address | Battle Creek, MI 49014-8614 |
| Second Address | Battle Creek, MI 49017-3395 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2017 |
| Last Update Date | 25/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.