NPI 1104086958

Jeffrey C Wang, MD

Practitioner Family Medicine Physician Lafayette, IN

Practice location

Address: 5177 McCarty Ln, Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 448-7613
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 01071171A (IN)

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MT192454 (PA)

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 01071171A (IN)

Registry record

NPI: 1104086958
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2008
Record last updated: 3 Jun 2026

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.