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Dr. Neil William Wangstrom, MD
Otolaryngology/Facial Plastic Surgery Physician in La Porte, Indiana
NPI 1730189820

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. You can also correspond with Neil William Wangstrom through the mailing address at PO BOX 1690, LA PORTE, IN - 46352-1690 (mailing address contact number: 219-326-2312).

Location: 304 Detroit St, La Porte, IN, 46352-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
M400041676 01 IN MEDICARE PTAN
000000697664 01 IN ANTHEM
100165330 05 IN
institution
Provider Business Practice Location Address Details
Address
304 Detroit St
City
La Porte
State
Indiana
Zip
46350-2497
Phone Number
219-325-3770
Fax Number
219-325-8181
person
Provider Business Mailing Address Details
Address
Po Box 1690
City
La Porte
State
Indiana
Zip
46352-1690
Phone Number
219-326-2312
Fax Number
219-326-2584
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
207YP0228X
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
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.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
01038858 (Indiana)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
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.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
01038858 (Indiana)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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