Lookup NPI Numbers from the NPI Registry
NPI Profile for PETRUNGARO PLASTIC SURGERY LLC in MUNSTER, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1639577794 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/05/2014 | |
| Last updated | 05/08/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PETRUNGARO PLASTIC SURGERY, LLC
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| RUSSELL W PELLAR, MD 10110 DONALD POWERS DR MUNSTER, IN |
| ANNE T DEMPSEY, MD 10110 DONALD POWERS DR. MUNSTER, IN |
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PETRUNGARO PLASTIC SURGERY, LLC