Individual
DR. MICHAEL E PANNUNZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13431 OLD MERIDIAN ST, SUITE 225, CARMEL, IN 46032-7101
(317) 249-2616
(317) 249-2618
Mailing address
13431 OLD MERIDIAN ST, SUITE 225, CARMEL, IN 46032-7101
(317) 249-2616
(317) 249-2618
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01061807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200814830
—
IN
Enumeration date
06/19/2006
Last updated
09/04/2014
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