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DR. WALTER KHE TIAN WONG MD
NPI 1124013404
Psychiatry & Neurology - Neurology in West Allis, WI

Active since September 13, 2005
2424 S 90TH ST, SUITE 202, WEST ALLIS, WI 53227(414) 328-7646(414) 328-7699 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walter Khe Tian Wong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER KHE TIAN WONG MD (NPI 1124013404) is an individual neurology provider in West Allis, Wisconsin, licensed in Wisconsin (24079) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1124013404
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. WALTER KHE TIAN WONGCredential: MD
Location Address2424 S 90TH ST, SUITE 202West Allis, WI 53227-2455
Mailing Address2424 S 90th St, Suite 202West Allis, WI 53227-2455 · (414) 328-7646 · Fax (414) 328-7699
Phone(414) 328-7646
Fax(414) 328-7699
Sole ProprietorYes
Enumeration DateSeptember 13, 2005
Last NPPES UpdateSeptember 15, 2009
✔ NPI 1124013404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WI · 24079
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2424 S 90TH ST, West Allis, WI 53227
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Other Identifiers 3

Medicare UPINE43958
Medicare ID-Type Unspecified000001056
Medicaid30632800WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SIMIN GOLESTANI M.D.
Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8080
SUSAN MANZ LARSON MD
Physical Medicine & Rehabilitation
2424 S 90TH ST, SUITE 500
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8600
NICOLE F JENSEN LPC
Counselor (Mental Health)
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 773-4312
WALTER K T WONG MD SC
Psychiatry & Neurology (Neurology)
2424 S 90TH ST, STE. 202
WEST ALLIS, WI 53227
Milwaukee County (414) 328-7646
DR. JUSTIN WILLIAM PETERSON D.O.
Orthopaedic Surgery
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255
VIRGINIA R KUENZI NP
Nurse Practitioner
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8150
JONATHAN E KIECHLE
Urology
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 649-1280
LINDSEY MARIA KASTNER PT, DPT, ATC
Physical Therapist
2424 S 90TH ST
WEST ALLIS, WI 53227
Milwaukee County (414) 321-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Wong's NPI number?

The NPI number for Walter Wong is 1124013404. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Walter Wong located?

Walter Wong practices at 2424 S 90th St Suite 202, West Allis, WI 53227. The listed phone number is (414) 328-7646.

What is Walter Wong's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Walter Wong was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.