Neil Wangstrom Md Pc is a Nurse Practitioner based in La Porte, IN. Neil Wangstrom Md Pc practices in La Porte, IN. The NPI Number for Neil Wangstrom Md Pc is 1043307978 and holds a License No. 01038858 (Indiana).
The current practice location address for Neil Wangstrom Md Pc is 304 Detroit St, La Porte, IN and can be reached out via phone at 219-325-3770 and via fax at 219-325-8181.
Location: 304 Detroit St, La Porte, IN, 46350-2473
Provider Profile Details
NPI Number
1043307978
Provider Name
Neil Wangstrom Md Pc
Credential
Provider Entity Type
Organization
Address
304 Detroit St, La Porte, IN, 46350-2473
Phone Number
219-325-3770
Fax Number
219-325-8181
Provider Enumeration Date
10/10/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100165330A | 05 | IN | |
| 000000105404 | 01 | IN | ANTHEM |
| 200245050A | 05 | IN | |
| 200482190 | 05 | IN | |
| 100165330 | 05 | IN |
Provider Business Practice Location Address Details
Address
304 Detroit St
City
State
Zip
46350-2473
Phone Number
219-325-3770
Fax Number
219-325-8181
Provider Business Mailing Address Details
Address
304 Detroit St
City
State
Zip
46350-2473
Phone Number
219-325-3770
Fax Number
219-325-8181
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
License No.
71001701A (Indiana)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Provider's Taxonomy Details 2
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
-
Taxonomy
License No.
23002292A (Indiana)
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
01038858 (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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