OrganizationActive
Renaissance Plastic Surgery PC
NPI 1407914567 · Plastic Surgery Physician · Indpls, IN
Provider details
- NPI number
- 1407914567
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Joseph Fata, Owner
Practice location
10293 N Meridian St
Suite 200
Indpls, IN 46290
Phone: (317) 575-9152
Fax: (317) 575-9281
Mailing address
10293 N Meridian St
Indpls, IN 46290
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2013-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.