Wallace Edward Wengler
Surgeon Surgical Oncologist
509 Se Riverside Dr Ste 200
Stuart
, Florida 34994-2579
Wallace Edward Wengler
Surgeon Surgical Oncologist
509 Se Riverside Dr Ste 200
Stuart
, Florida 34994-2579
(772) 223-5646
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Wallace Edward Wengler
- Po Box 417
- Stuart, FL
- Zip : 34995-0417
- Fax : (772) 223-5646
- Phone : (772) 223-5665
Second Address
- Wallace Edward Wengler
- 509 Se Riverside Dr Ste 200
- Stuart, FL
- Zip : 34994-2579
- Fax : (772) 219-0973
- Phone : (772) 219-4026
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | ME0033979 | FL |
| N | 208600000X | Surgeon | ME0033979 | FL |
| Y | 2086X0206X | Surgical Oncologist | ME33979 | FL |
National Provider Identifier
| NPI | 1073511408 |
|---|---|
| Provider Name | Wallace Edward 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 | 11/07/2005 |
| Last Update Date | 13/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 065625900 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.