Individual
DR. CRAIG ADAM WENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 SE RIVERSIDE DR STE 200, STUART, FL 34994-2579
(772) 219-4026
(772) 219-0973
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME121516
FL
2086X0206X
Surgical Oncology Physician
Primary
ME121516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015191900
—
FL
01
—
150TG
FLORIDA BLUE
FL
Enumeration date
05/20/2008
Last updated
10/13/2020
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