Indiana
Professional Licensing Agency
Neil Wangstrom, M.D., P.C.
Medical Licensing Board - Medical Corporation
License number
50004445A
Date granted
08/20/2002
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
7292 WEST 275 NORTH, La Porte IN 46350
indianalicensing.org
ID 24829970
LAST UPDATED 2026-05-25 16:19:43 UTC
LAST UPDATED 2026-05-25 16:19:43 UTC
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