NEIL WILLIAM WANGSTROM

LA PORTE, IN
NPI1730189820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IN  01038858)
Additional Taxonomies207YP0228X Otolaryngology, Pediatric Otolaryngology
(Licence: IN  01038858)
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: IN  01038858)
207YX0602X Otolaryngology, Otolaryngic Allergy
(Licence: IN  01038858)
207YX0901X Otolaryngology, Otology & Neurotology
(Licence: IN  01038858)
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: IN  01038858)
Enumeration Date2005-07-29
Last Update Date2020-09-16
Business Address
Dr. NEIL WILLIAM WANGSTROM M.D.
304 DETROIT ST
LA PORTE, IN 46350-2497
Phone number: 219-325-3770
Mailing Address
Dr. NEIL WILLIAM WANGSTROM M.D.
PO BOX 1690
LA PORTE, IN 46352-1690
Phone number: 219-326-2312