Individual
WENTAO MI
Active
Individual
WENTAO MI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01096384A
IN
2084N0600X
Clinical Neurophysiology Physician
01096384A
IN
Other
Enumeration date
06/07/2019
Last updated
04/30/2025
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