NPI 1043307978

Neil Wangstrom MD PC

Organisation Otolaryngology Physician La Porte, IN

Practice location

Address: 304 Detroit St, La Porte, IN 46350-2473
Phone: (219) 325-3770
Fax: (219) 325-8181

Authorised official

Name: Robin M Henrich
Title: Practice Manager
Phone: (219) 325-3770

Registered specialties (4)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 01038858 (IN)

Other Otolaryngology providers in Indiana →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 23002292A (IN)

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71001701A (IN)

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71001740A (IN)

Registry record

NPI: 1043307978
Entity type: Organization
NPI issued: 10 Oct 2006
Record last updated: 29 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.