Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NEIL WILLIAM WANGSTROM, M.D.
ActiveOtolaryngology · LA PORTE, IN
Registration Details
- NPI Number
- 1730189820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2005 (20.772132150008 yrs)
- Last Updated
- Sep 16, 2020
- Licenses
-
01038858 (IN)01038858 (IN)01038858 (IN)01038858 (IN)01038858 (IN)
Practice Information
- Address
-
304 DETROIT STLA PORTE, IN, 463502497Browse IN providers · Browse ZIP 46350
- Phone
- 2193253770
- Fax
- 2193258181
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Pediatric Otolaryngology
- Additional Specialty
- Plastic Surgery within the Head & Neck
- Additional Specialty
- Otology & Neurotology
- Additional Specialty
- Otolaryngic Allergy
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.