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NPI Profile for Dr JASON M PETRUNGARO in MUNSTER, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1871765057 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 03/28/2008 | |
| Last updated | 08/03/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JASON M PETRUNGARO
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JASON M PETRUNGARO, MD