Organization
RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC
Active
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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