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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073511408 | NPPES |
| Florida | MEDICAID | 065625900 |
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