Neil William Wangstrom in La Porte - Otolaryngology/facial Plastic Surgery
Neil William Wangstrom - NPI 1730189820
Neil William Wangstrom is a Otolaryngology/facial Plastic Surgery in La Porte, Indiana. Neil William Wangstrom practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Neil William Wangstrom is 1730189820. The last update date is 2020-09-16.
Neil William Wangstrom's current location address is Po Box 1690, La Porte, Indiana. You can contact this provider via phone number 2193262312 and fax number 2193262584. The mailing address for Neil William Wangstrom is Po Box 1690, La Porte, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Neil William Wangstrom |
|---|---|
| Address | Po Box 1690, La Porte, Indiana |
| Phone Number | 2193262312 |
| Fax Number | 2193262584 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730189820 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2020-09-16 |
Provider Mailing Address Detail
| Address | Po Box 1690 |
|---|---|
| City | La Porte |
| State | Indiana (IN) |
| Post Code | 463521690 |
| Phone Number | 2193262312 |
| Fax Number | 2193262584 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 1038858 |
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Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M400041676 | IN | MEDICARE PTAN | |
| 697664 | IN | ANTHEM | |
| 100165330 | IN | -- |
Post Comment/ Review Below
What is the Neil William Wangstrom's unique identification number?
The Neil William Wangstrom has been assigned the NPI (National Provider Identifier) Number 1730189820 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Neil William Wangstrom is physically located?
The Neil William Wangstrom is situated at the following address: Po Box 1690, La Porte, IN 463521690.
What is Neil William Wangstrom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Neil William Wangstrom is Otolaryngology/facial Plastic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730189820 to Neil William Wangstrom?
The Centers for Medicare & Medicaid Services assigned the 1730189820 to Neil William Wangstrom on 2005-07-29.
As of what date was the information regarding Neil William Wangstrom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Neil William Wangstrom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-16.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN