Renaissance Plastic Surgery PC

NPI #1407914567 in Indpls, Indiana

Provider Information

NPI Number: 1407914567
Entity Type: Organization
Organization Name: Renaissance Plastic Surgery PC
Primary Specialty: Plastic Surgery
Enumeration Date: Dec 4, 2006
Last Updated: Jun 27, 2013

Practice Location

Address: 10293 N MERIDIAN ST
Address 2: SUITE 200
City: Indpls
State: Indiana
ZIP Code: 46290
Phone: (317) 575-9152

Authorized Official

Name: DR. JOSEPH J FATA
Title: OWNER
Phone: (317) 575-9152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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DR. Ronald K Downs, M.D., F.A.C.S.	Plastic Surgery	Mishawaka	AI Deep Dive
DR. Patrick J Viscardi, M.D.	Plastic Surgery	Mishawaka	AI Deep Dive
DR. Jeffrey David Wagner, MD	Plastic Surgery	Indianapolis	AI Deep Dive
Guy G Crevecoeur, MD	Plastic Surgery	Fort Wayne	AI Deep Dive
DR. Joseph M Mlakar, MD	Plastic Surgery	Fort Wayne	AI Deep Dive

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