Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON MICHAEL PETRUNGARO, M.D.
Active Sole ProprietorDR. JASON MICHAEL PETRUNGARO, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in MUNSTER, Indiana. NPI 1871765057 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · MUNSTER, IN
Registration Details
- NPI Number
- 1871765057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2008 (18.391421842497 yrs)
- Last Updated
- Aug 3, 2016
- Licenses
-
N9993 (TX)01074460A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 MACARTHUR BLVDSUITE 21MUNSTER, IN, 463212917Browse IN providers · Browse ZIP 46321
- Phone
- 2198361163
- Fax
- 8442706677
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Other Plastic and Reconstructive Surgery Providers in MUNSTER, IN
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT E FRANK | MD | 1578517553 |
| DR. LISA ANN WHITTY BRADLEY | MD | 1801808662 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.