Wengler, Wallace Edward

Wengler, Wallace Edward is an individual health care provider with primary practice located at 509 Se Riverside Dr Ste 200 , Stuart FL 34994-2579. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Wengler, Wallace Edward can be contacted via phone (772) 219-4026.

Contact Information

Primary practice address
509 Se Riverside Dr Ste 200 Stuart FL 34994-2579
Phone: (772) 219-4026
Fax: (772) 219-0973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0033979 Florida
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME33979 Florida

Profile Details

NPI number 1073511408
LBN Legal business name Wengler, Wallace Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073511408 NPPES
Florida MEDICAID 065625900

Popular Providers