Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY C WANG, MD
ActiveJEFFREY C WANG, MD is a Sports Medicine healthcare provider located in LAFAYETTE, Indiana. NPI 1104086958 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LAFAYETTE, IN
Registration Details
- NPI Number
- 1104086958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2008 (18.118243121801 yrs)
- Last Updated
- Dec 21, 2022
- Licenses
-
MT192454 (PA)01071171A (IN)01071171A (IN)
Practice Information
- Address
-
5177 MCCARTY LNLAFAYETTE, IN, 479058764Browse IN providers · Browse ZIP 47905
- Phone
- 7654488000
- Fax
- 7654487613
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| EMILY ELIZABETH KRODEL | MD | 1760794762 |
| SKYLER GICK | DO | 1366948507 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.