Individual
NEIL R. WANEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60021 MONROE ST, SMITHVILLE, MS 38870-7779
(662) 651-4637
(662) 651-4636
Mailing address
PO BOX 305, SMITHVILLE, MS 38870-0305
(662) 651-4637
(662) 651-4636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23359
MS
207Q00000X
Family Medicine Physician
IN01033830
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04933323
—
MS
05
—
100126240B
—
IN
Enumeration date
02/16/2006
Last updated
05/07/2025
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