Neil William Wangstrom is a Otolaryngology/Facial Plastic Surgery Physician based in La Porte, IN and is specialized in Otolaryngology/Facial Plastic Surgery. Neil William Wangstrom practices in La Porte, IN and has the professional credentials of MD. The NPI Number for Neil William Wangstrom is 1730189820 and holds a License No. 01038858 (Indiana).
The current practice location address for Neil William Wangstrom 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, 46352-1690
Provider Profile Details
NPI Number
1730189820
Provider Name
Neil William Wangstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
304 Detroit St, La Porte, IN, 46352-1690
Phone Number
219-325-3770
Fax Number
219-325-8181
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M400041676 | 01 | IN | MEDICARE PTAN |
| 000000697664 | 01 | IN | ANTHEM |
| 100165330 | 05 | IN |
Provider Business Practice Location Address Details
Address
304 Detroit St
City
State
Zip
46350-2497
Phone Number
219-325-3770
Fax Number
219-325-8181
Provider Business Mailing Address Details
Address
304 Detroit St
City
State
Zip
46350-2497
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.
01038858 (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
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
License No.
01038858 (Indiana)
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
License No.
01038858 (Indiana)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
License No.
01038858 (Indiana)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
License No.
01038858 (Indiana)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
01038858 (Indiana)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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