Individual
MR. WENG PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3641 RIDGE ROAD, SUITE #5, HIGHLAND, IN 46322
(219) 972-3811
(219) 972-3844
Mailing address
3641 RIDGE ROAD, SUITE #5, HIGHLAND, IN 46322
(219) 972-3811
(219) 972-3844
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01035904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093656
BCBS
IN
Enumeration date
08/28/2006
Last updated
07/08/2007
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