Dr. Neil William Wangstrom, MD
Dr. Neil William Wangstrom, MD is an Otolaryngology in LA Porte, Indiana. Graduated from Washington University School of Medicine in 1985, 41 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 41
- Trained at
- Washington University School of Medicine
- Licensed in
- IN
- In the registry since
- 2005
- Specialties on file
- 6
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
304 Detroit StLA Porte, IN 46350-2497
Phone: (219) 325-3770
Fax: (219) 325-8181
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 01038858 (IN) |
|---|---|
| Pediatric Otolaryngology Physician | Taxonomy 207YP0228X · Licence 01038858 (IN) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | Taxonomy 207YX0007X · Licence 01038858 (IN) |
| Otolaryngic Allergy Physician | Taxonomy 207YX0602X · Licence 01038858 (IN) |
| Otology & Neurotology Physician | Taxonomy 207YX0901X · Licence 01038858 (IN) |
| Otolaryngology/Facial Plastic Surgery Physician | Taxonomy 207YX0905X · Licence 01038858 (IN) |
Record details
| NPI number | 1730189820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 29, 2005 |
| Last updated in NPPES | September 16, 2020 |
| Certification date | September 16, 2020 |
| Mailing address | Po Box 1690, La Porte, IN 46352-1690 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1985 (41 years in practice) |
| Group practice | La Porte Clinic Company Llc — 66 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in LA Porte
-
Neil Wangstrom MD PC
304 Detroit St, LA Porte, IN 46350-2473 · (219) 325-3770