Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neil Wangstrom MD PC

Organization Otolaryngology Physician · NPI 1043307978

Neil Wangstrom MD PC is an Otolaryngology Physician in LA Porte, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

304 Detroit St
LA Porte, IN 46350-2473
Phone: (219) 325-3770
Fax: (219) 325-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 01038858 (IN)
Audiologist Taxonomy 231H00000X · Licence 23002292A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71001701A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71001740A (IN)

Record details

NPI number1043307978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Henrich — Practice Manager · (219) 325-3770
Other names Northwest Indiana Ent Assoicates
NPI enumeratedOctober 10, 2006
Last updated in NPPESSeptember 29, 2009
Mailing address304 Detroit St, La Porte, IN 46350-2473

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