Organization
RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC
Active
Other names
Reconstructive Hand Surgeons of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E PANNUNZIO M.D. (PARTNER)
(317) 249-2616
Entity
Organization
Contact information
Practice address
13431 OLD MERIDIAN STREET, SUITE 225, CARMEL, IN 46032
(317) 249-2616
(317) 249-2618
Mailing address
13431 OLD MERIDIAN ST STE 225, CARMEL, IN 46032-1417
(317) 249-2616
(317) 249-2618
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01063681A
MEDICAL LICENSE
IN
Enumeration date
08/30/2007
Last updated
12/09/2025
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