Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME121516 | FL |
N | 208600000X | Surgeon | ME121516 | FL |
Y | 2086X0206X | Surgical Oncologist | ME121516 | FL |
NPI | 1366609117 |
---|---|
Provider Name | Dr. Craig Adam Wengler |
First Address | Stuart, FL 34995-0417 |
Second Address | Stuart, FL 34994-2579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 13/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015191900 | (05) | FL |
150TG | FLORIDA BLUE (01) | FL |